Individual
RYAN L. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 942-2909
(509) 942-2185
Mailing address
777 BANNOCK ST # MC0206, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61531662
WA
363AS0400X
Surgical Physician Assistant
PA.0004839
CO
363AS0400X
Surgical Physician Assistant
PA169239
OR
363AS0400X
Surgical Physician Assistant
Primary
PA61531662
WA
Other
Enumeration date
10/30/2014
Last updated
05/21/2024
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