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Individual

DR. RYAN LLOYD DOERGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10024 MAIN ST STE 2C, BOTHELL, WA 98011-3464
(425) 485-1413
(425) 485-1283
Mailing address
10024 MAIN ST STE 2C, BOTHELL, WA 98011-3464
(425) 485-1413
(425) 485-1283

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034801
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH00034801
WA STATE CHIROPRACTIC LIC
WA
Enumeration date
09/11/2007
Last updated
07/18/2011
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