Individual
RYAN W MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3209 S 23RD ST, SUITE 340, TACOMA, WA 98405-1602
(253) 272-5127
Mailing address
2420 S UNION AVE, STE 200, TACOMA, WA 98405-1323
(253) 503-2598
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9651118
—
WA
01
—
G8862912
MDCR PTAN (P)
WA
01
—
G8914633
MDCR PTAN (K)
WA
Enumeration date
10/19/2006
Last updated
01/05/2017
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