Individual
DR. TOBIAS A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
400 E EVERGREEN BLVD STE 221, VANCOUVER, WA 98660-3264
(360) 657-9742
Mailing address
400 E EVERGREEN BLVD STE 221, VANCOUVER, WA 98660-3264
(360) 657-9742
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1905
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255527503
EIN: 30-0565973
OR
01
—
1905
OREGON BOARD OF PSYCHOLOGIST EXAMINERS
OR
01
—
PY60209157
WASHINGTON STATE
WA
Enumeration date
09/20/2007
Last updated
01/30/2025
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