RYAN WALLENBERG

PORTLAND, OR
NPI1114283561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-04-10
Last Update Date2012-04-10
Business Address
-- RYAN WALLENBERG M.D.
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Phone number: 503-494-8211
Mailing Address
-- RYAN WALLENBERG M.D.
1623 S TAVERNER DR
RIDGEFIELD, WA 98642
Phone number:
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