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Mr. Ryan Douglas Archibald, STUDENT/INTERN
Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon
NPI 1063718385

Ryan Douglas Archibald is a Student in an Organized Health Care Education/Training Program based in Forest Grove, OR. Ryan Douglas Archibald practices in Forest Grove, OR and has the professional credentials of STUDENT/INTERN. The NPI Number for Ryan Douglas Archibald is 1063718385 and holds a License No. (Oregon).

The current practice location address for Ryan Douglas Archibald is 2043 College Way, Forest Grove, OR and can be reached out via phone at 503-352-2202 and via fax at 503-352-2261.

Location: 2043 College Way, Forest Grove, OR, 97116-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063718385
Provider Name
Ryan Douglas Archibald
Credential
STUDENT/INTERN
Provider Entity Type
Individual
Gender
Male
Address
2043 College Way, Forest Grove, OR, 97116-1411
Phone Number
503-352-2202
Fax Number
503-352-2261
Provider Enumeration Date
02/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116-1756
Phone Number
503-352-2202
Fax Number
503-352-2261
person
Provider Business Mailing Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116-1756
Phone Number
503-352-2202
Fax Number
503-352-2261
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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