Individual
DR. RYAN JAMES POULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
Mailing address
9155 SW BARNES RD STE 420, PORTLAND, OR 97225-6631
(503) 297-2360
(503) 297-2360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD215148
OR
Other
Enumeration date
04/23/2020
Last updated
09/19/2023
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