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1518635788
RYAN HIMES
SCAPPOOSE, OR
NPI
1518635788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR PA217670)
Enumeration Date
2021-09-02
Last Update Date
2024-07-10
Business Address
RYAN HIMES
51377 SW OLD PORTLAND RD STE C
SCAPPOOSE, OR 97056-4023
Phone number: 503-418-4222
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Mailing Address
RYAN HIMES
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number:
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