Ryan Fairley

NPI #1144606229 in Portland, Oregon

Provider Information

NPI Number: 1144606229
Entity Type: Individual
Name: Ryan Fairley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Enumeration Date: Jul 30, 2015
Last Updated: Jul 8, 2020

Practice Location

Address: 1040 NW 22ND AVE STE 520
City: Portland
State: Oregon
ZIP Code: 97210-3097
Phone: (503) 413-7557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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Organizations

Provider Name	Specialty	City
Portland Surgical Oncology, PC	Surgery	Portland	AI Deep Dive

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