Individual
MRS. OXANA P RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10809 211TH AVENUE CT E, BONNEY LAKE, WA 98391-6656
(206) 407-5602
Mailing address
10809 211TH AVENUE CT E, BONNEY LAKE, WA 98391-6656
(206) 407-5602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60129815
WA
Other
Enumeration date
03/09/2010
Last updated
09/24/2025
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