Individual
RYAN J STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1519 3RD ST SE, SUITE 210, PUYALLUP, WA 98372-3742
(253) 840-4994
(253) 770-1105
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD60644430
WA
Other
Enumeration date
06/08/2011
Last updated
07/25/2016
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