REATHA L RYAN


Address: 615 Sw Hurbert St, Suite C, Newport, OR 97365-4981
Phone: 5415741600

REATHA L RYAN (NPI# 1992823728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992823728
Entity Type Individual
Full Name REATHA L RYAN
Other Name MRS. REATHA L STEWART
Credential P.M.H.N.P. R.N.
Practice Address 615 Sw Hurbert St
Suite C
Newport
OR 97365-4981
Mailing Address Po Box 255
Seal Rock
OR 97376-0255
Practice Telephone 5415741600
Practice Fax Number 5415741600
Mailing Telephone 5419614844
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
000030121N6 PMHN OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 615 SW HURBERT ST
SUITE C
City NEWPORT
State OR
Zip Code 97365-4981

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1952825267 Christopher Brent Delph Nurse Practitioner 990 W Highway 25 70, Newport, TN 37821 2017-07-28
1538595525 Renata Figueiredo Sasson Nurse Practitioner 11 Friendship St, Newport, RI 02840-2209 2013-09-23
1396090809 Tami Beth Lamb Nurse Practitioner 51 Sw Lee St, Newport, OR 97365-3823 2012-07-20
1275840712 Sally Kathryn Mathieson Nurse Practitioner 637 Union Street, Dr. Leslie Lockridge, Newport, VT 05855-0838 2010-09-03
1124241054 Della Fogerson Nurse Practitioner 36 Sw Nye St, Newport, OR 97365-3821 2007-04-10

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Competitor

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City NEWPORT
Zip Code 97365

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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