Individual
MR. ROBERT SCOTT RYVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 MAPLE ST, FLORENCE, OR 97439-9410
(541) 997-4282
Mailing address
PO BOX 1014, FLORENCE, OR 97439-0047
(541) 590-3157
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
527314
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527314
OREGON DEPARTMENT OF HUMAN SERVICES
OR
Enumeration date
02/10/2018
Last updated
02/10/2018
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