Most Relevant Information
Provider Data
| NPI Number: | 1003246935 |
| Provider Name: | COLIN RYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2013 |
| Last Updated: | 11/13/2013 |
Provider Practice Location
321 SE 3RD ST
TOLEDO
OR
973911613
Practice Location Phone/Fax
| Phone: | 5413362254 |
| Fax: |
Provider Mailing Location
321 SE 3RD ST
TOLEDO
OR
973911613
Provider Mailing Phone/Fax
| Phone: | 5413362254 |
| Fax: |