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1891054953
RYAN A ROSE
SALEM, OR
NPI
1891054953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR DO176924)
Enumeration Date
2012-05-10
Last Update Date
2018-05-02
Business Address
RYAN A ROSE D.O.
890 OAK ST SE BLDG A
SALEM, OR 97301-3905
Phone number: 503-561-5634
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Mailing Address
RYAN A ROSE D.O.
890 OAK ST SE BLDG A
SALEM, OR 97301-3905
Phone number: 503-561-5634
Copy
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