Dr. Ryan P Gallivan
Otolaryngologist (ENT Doctor)
2450 Ne Mary Rose Pl Suite 120
Bend
, Oregon 97701-7132
Dr. Ryan P Gallivan
Otolaryngologist (ENT Doctor)
2450 Ne Mary Rose Pl Suite 120
Bend
, Oregon 97701-7132
(541) 312-7050
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Ryan P Gallivan
- 2450 Ne Mary Rose Pl Suite 120
- Bend, OR
- Zip : 97701-7132
- Fax : (541) 312-7050
- Phone : (541) 382-3100
Second Address
- Dr. Ryan P Gallivan
- 2450 Ne Mary Rose Pl Suite 120
- Bend, OR
- Zip : 97701-7132
- Fax : (541) 312-7050
- Phone : (541) 382-3100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 23746 | OR |
National Provider Identifier
| NPI | 1043292196 |
|---|---|
| Provider Name | Dr. Ryan P Gallivan |
| First Address | Bend, OR 97701-7132 |
| Second Address | Bend, OR 97701-7132 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2005 |
| Last Update Date | 10/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 286590 | (05) | OR |
| H44267 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.