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1104334176
RYAN S CORDELL
PORTLAND, OR
NPI
1104334176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11572)
Enumeration Date
2018-01-12
Last Update Date
2020-09-03
Business Address
RYAN S CORDELL PA
1455 NW IRVING ST STE 600
PORTLAND, OR 97209-2277
Phone number: 503-684-8252
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Mailing Address
RYAN S CORDELL PA
1314 NE EMERSON ST
PORTLAND, OR 97211-4311
Phone number: 325-276-1023
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