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Individual

RYAN MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(425) 999-5739
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2170
ID
363A00000X
Physician Assistant
PA61222585
WA
363A00000X
Physician Assistant

Other

Enumeration date
07/26/2021
Last updated
12/22/2021
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