Individual
REATHA L RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.M.H.N.P. R.N.
Contact information
Practice address
615 SW HURBERT ST, SUITE C, NEWPORT, OR 97365-4981
(541) 574-1600
(541) 574-1600
Mailing address
PO BOX 255, SEAL ROCK, OR 97376-0255
(541) 961-4844
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000030121N6 PMHNP-PP
OR
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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