Ryan, Mitchell Ray
Ryan, Mitchell Ray is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave Department Of Pathology, Portland OR 97210-3025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ryan, Mitchell Ray can be contacted via phone (503) 413-7636.Contact Information
Primary practice address
1015 Nw 22Nd Ave Department Of Pathology
Portland OR 97210-3025
Phone: (503) 413-7636
Fax: (503) 413-6267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD21690 | Oregon |
Profile Details
| NPI number | 1417096843 |
|---|---|
| LBN Legal business name | Ryan, Mitchell Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | May 14th, 2009 - about 15 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 | 1417096843 | NPPES |
| Oregon | MEDICAID | 1344158 | |
| Oregon | MEDICAID | 8429037 |
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