Individual
BRUCE HARLAN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18820 AURORA AVE N, SUITE 102, SHORELINE, WA 98133-3900
(206) 546-2205
(206) 533-6214
Mailing address
18820 AURORA AVE N, SUITE 102, SHORELINE, WA 98133-3900
(206) 546-2205
(206) 533-6214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001413
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16782
LABOR & INDUSTRIES
WA
05
—
2053403
—
WA
01
—
RY0018
REGENCE BLUE SHIELD
WA
Enumeration date
01/11/2007
Last updated
07/08/2007
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