Individual
DR. RYAN P LEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10109 US HWY 12, RANDLE, WA 98377
(888) 468-0022
(541) 504-3907
Mailing address
PO BOX 490, REDMOND, OR 97756-0092
(888) 468-0022
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9326
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500609291
—
OR
Enumeration date
08/10/2009
Last updated
04/09/2021
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