Individual
DR. RYAN FREDERICK HERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2018-00895
NC
2085R0202X
Diagnostic Radiology Physician
MD61045093
WA
2085R0204X
Vascular & Interventional Radiology Physician
2018-00895
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD61045093
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425756
L&I-RADIA REST OF WA
WA
01
—
0425758
L&I-RADIA KING CTY
WA
01
—
0425761
L&I-EVERGREEN RADIA
WA
01
—
0425762
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0425765
L&I-SOUTH SOUND RADIOLOGY
WA
01
—
0425766
L&I-SEATTLE RADIOLOGY
WA
01
—
0425767
L&I-VANCOUVER RADIOLOGY
WA
05
—
2160016
—
WA
Enumeration date
04/03/2014
Last updated
06/20/2024
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