Organization
ST ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC C. RYSENGA M.D. (PATHOLOGIST)
(541) 881-7287
Entity
Organization
Contact information
Practice address
351 SW NINTH STREET, ONTARIO, OR 97914-2639
(541) 881-5331
Mailing address
PO BOX 357, COLCHESTER, IL 62326
(208) 472-8185
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
11/28/2021
Last updated
06/16/2025
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