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Individual

DR. RYAN KIRKPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
665 WINTER ST SE, SALEM, OR 97301-3919
(503) 561-5634
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3198

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25545
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0204777
L & I
WA
01
023193
MARION POLK CHP
05
023193
OR
05
8443111
WA
Enumeration date
08/16/2006
Last updated
12/19/2007
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