Ryan B Israelsen
Internist Pediatrician Allergist & Immunologist Pediatric Allergist
3860 Crater Lake Ave
Medford
, Oregon 97504
Ryan B Israelsen
Internist Pediatrician Allergist & Immunologist Pediatric Allergist
3860 Crater Lake Ave
Medford
, Oregon 97504
(541) 858-1003
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About
Features
Specialties
- Allergist & Immunologist
- Internist
- Pediatrician
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Ryan B Israelsen
- 3860 Crater Lake Ave # A
- Medford, OR
- Zip : 97504-9741
- Phone : (541) 858-1003
Second Address
- Ryan B Israelsen
- 3860 Crater Lake Ave
- Medford, OR
- Zip : 97504
- Phone : (541) 858-1003
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Is Ryan B Israelsen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | MD187596 | OR |
| N | 207R00000X | Internist | MD187596 | OR |
| N | 111NI0900X | Internist | MD187596 | OR |
| N | 208000000X | Pediatrician | MD187596 | OR |
| N | 2080P0201X | Pediatric Allergist | MD187596 | OR |
National Provider Identifier
| NPI | 1487910766 |
|---|---|
| Provider Name | Ryan B Israelsen |
| First Address | Medford, OR 97504-9741 |
| Second Address | Medford, OR 97504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2012 |
| Last Update Date | 15/06/2018 |
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.