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1013609189
JOHN RYAN
MILWAUKIE, OR
NPI
1013609189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
JOHN RYAN
17070 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97267-4960
Phone number: 503-303-4000
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Mailing Address
JOHN RYAN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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