Individual provider · Type 1 NPI

Ryan Douglas Archibald, STUDENT/INTERN

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

NPI number 1063718385 Active

Practice location

2043 College Way
Forest Grove, OR 97116-1756

Call (503) 352-2202 Map

Fax (503) 352-2261

Mailing address

2615 A Street Unit A
Forest Grove, OR 97116-1411

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063718385

Ryan Douglas Archibald, STUDENT/INTERN's National Provider Identifier is 1063718385, issued on Feb 3, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Grove, OR. The record was last updated on Feb 3, 2011.