Individual
RYAN M STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R-AAC, CPC
Contact information
Practice address
1126 S GOLD ST, CENTRALIA, WA 98531-3768
(360) 807-4929
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61580646
WA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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