RYAN GREGORY RESEBURG

PORTLAND, OR
NPI1275368474
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10032073)
Enumeration Date2024-09-06
Last Update Date2024-09-06
Business Address
RYAN GREGORY RESEBURG PMHNP
10300 SW EASTRIDGE ST
PORTLAND, OR 97225-5004
Phone number: 503-944-5000
Mailing Address
RYAN GREGORY RESEBURG PMHNP
2005 N WILLIAMS AVE APT 539
PORTLAND, OR 97227-2057
Phone number: 503-400-4447
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