NPI 1063718385

Ryan Douglas Archibald, STUDENTINTERN

Practitioner Student in an Organized Health Care Education/Training Program Forest Grove, OR

Practice location

Address: 2043 College Way, Forest Grove, OR 97116-1756
Phone: (503) 352-2202
Fax: (503) 352-2261
Mailing address: 2615 a Street Unit a, Forest Grove, OR 97116-1411

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Oregon →

Registry record

NPI: 1063718385
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2011
Record last updated: 3 Feb 2011

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.