Ryanne J. Mayersak
Emergency Physician Emergency Medical Services
3181 Sw Sam Jackson Park Rd Mail Code Cdw-Em
Portland
, Oregon 97239-3011
Ryanne J. Mayersak
Emergency Physician Emergency Medical Services
3181 Sw Sam Jackson Park Rd Mail Code Cdw-Em
Portland
, Oregon 97239-3011
(503) 494-7008
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Ryanne J. Mayersak
- 3181 Sw Sam Jackson Park Rd Mail Code Cdw-Em
- Portland, OR
- Zip : 97239-3011
- Phone : (503) 494-7008
Second Address
- Ryanne J. Mayersak
- 3181 Sw Sam Jackson Park Rd Mail Code Cdw-Em
- Portland, OR
- Zip : 97239-3011
- Phone : (503) 494-7008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | MD171647 | OR |
| N | 207PE0004X | Emergency Medical Services | MD036585 | DC |
National Provider Identifier
| NPI | 1194927558 |
|---|---|
| Provider Name | Ryanne J. Mayersak |
| First Address | Portland, OR 97239-3011 |
| Second Address | Portland, OR 97239-3011 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2007 |
| Last Update Date | 31/12/2015 |
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.