Ryan R. Stevens, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD22325 Issued in OR

Legal business name

RYAN R. STEVENS, M.D., P.C.

Practice address

1867 NW Kings Blvd
Corvallis, OR 97330-1907

Phone

(541) 757-4999

Fax

(541) 757-0800

NPI assigned

Jun 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ryan R Stevens, M.D.

Title

President

Phone

(541) 757-4999

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1780903708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301907",
            "telephone_number": "541-757-4999",
            "fax_number": "541-757-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301907",
            "telephone_number": "541-757-4999",
            "fax_number": "541-757-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN R. STEVENS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-757-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD22325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288322",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah James Russell
• Rebecca Lynn Quant Russell, PHARMD, RPH
• Kiana Rust
• Rebekah Joy Rutledge
• Sarah Rutledge
• Alana Ryan, D.O.
• Mandy Ryan, RN
• Michelle Marie Ryan, MD
• Rebecca Ryan
• Suzanna R Ryan

• Specialist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.