NPI 1043292196

Ryan P Gallivan, MD

Practitioner Otolaryngology Physician Bend, OR

Practice location

Address: 2450 NE Mary Rose Pl Suite 120, Bend, OR 97701-7132
Phone: (541) 382-3100
Fax: (541) 312-7050

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 23746 (OR)

Other Otolaryngology providers in Oregon →

Registry record

NPI: 1043292196
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2005
Record last updated: 10 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.