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1740747781
RYAN SHORT
PRINEVILLE, OR
NPI
1740747781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63137)
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
RYAN SHORT DPT
1251 NE ELM ST STE 2A
PRINEVILLE, OR 97754-3143
Phone number: 541-447-6846
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Mailing Address
RYAN SHORT DPT
1480 NE VILLAGE ST
FAIRVIEW, OR 97024-3827
Phone number: 503-489-1174
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