Johanson, Ryan E

Johanson, Ryan E is an individual health care provider with primary practice located at 1128 Ne 2Nd St Ste 104 , Corvallis OR 97330-6293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johanson, Ryan E can be contacted via phone (541) 602-6211.

Contact Information

Primary practice address
1128 Ne 2Nd St Ste 104 Corvallis OR 97330-6293
Phone: (541) 602-6211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD27209 Oregon

Profile Details

NPI number 1760672612
LBN Legal business name Johanson, Ryan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Apr 7th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760672612 NPPES
Washington MEDICAID 8487746
Washington MEDICAID 274438
Washington Other P00784755

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