Individual
ALISSE M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00040027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
01
—
110225856
RAILROAD MEDICARE
WA
05
—
8284093
—
WA
01
—
9798RY
BLUE SHIELD #
WA
05
—
MD2653W
—
AK
01
—
US2557076
AETNA SPECIALIST PIN
WA
Enumeration date
10/10/2006
Last updated
03/23/2015
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