Individual
MR. GUIDO VAN RYSSEGEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
OREGON STATE UNIVERSITY, STUDENT HEALTH, 201 PLAGEMAN, CORVALLIS, OR 97331-5801
(541) 737-3106
(541) 737-4530
Mailing address
850 SW C AVE, CORVALLIS, OR 97333-4315
(541) 737-3106
(541) 737-4530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0821602328
OR
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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