BRIAN LAVERN RYDER

PORTLAND, OR
NPI1245243724
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  200060011CRNA)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- BRIAN LAVERN RYDER CRNA
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-1234
Mailing Address
-- BRIAN LAVERN RYDER CRNA
12535 NW BRIMPTON CT
PORTLAND, OR 97229-9310
Phone number: 503-645-5483
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