Gallivan, Ryan P
Gallivan, Ryan P is an individual health care provider with primary practice located at 2450 Ne Mary Rose Pl Suite 120, Bend OR 97701-7132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gallivan, Ryan P can be contacted via phone (541) 382-3100.Contact Information
Primary practice address
2450 Ne Mary Rose Pl Suite 120
Bend OR 97701-7132
Phone: (541) 382-3100
Fax: (541) 312-7050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 23746 | Oregon |
Profile Details
| NPI number | 1043292196 |
|---|---|
| LBN Legal business name | Gallivan, Ryan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Mar 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043292196 | NPPES |
| Oregon | MEDICAID | 286590 |
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