Individual
AMELIA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 SE 172ND AVE, VANCOUVER, WA 98684
(360) 882-2778
(360) 604-1772
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 397-3352
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60852601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106695
—
WA
Enumeration date
06/24/2008
Last updated
07/16/2020
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