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1912527557
RYAN JAMES POULO
PORTLAND, OR
NPI
1912527557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD215148)
Enumeration Date
2020-04-23
Last Update Date
2023-09-19
Business Address
Dr. RYAN JAMES POULO MD
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-1111
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Mailing Address
Dr. RYAN JAMES POULO MD
9155 SW BARNES RD STE 420
PORTLAND, OR 97225-6631
Phone number: 503-297-2360
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