Kevin Ryan Pc

LBN: Kevin Ryan Pc
Kevin Ryan Pc is an health care organization with primary practice located at 119 E 2Nd St Ste 210 , The Dalles OR 97058-1796. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Kevin Ryan Pc can be contacted via phone (541) 296-6114, or through Ryan, Kevin T via phone (541) 340-0402.

Contact Information

Primary practice address
119 E 2Nd St Ste 210 The Dalles OR 97058-1796
Phone: (541) 296-6114
Fax: (541) 296-6577
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Kevin T LMFT
Phone: (541) 340-0402

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1972139947
LBN Legal business name Kevin Ryan Pc
DBA Doing business as
Authorized official Ryan, Kevin T LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2020
Last updated Mar 21st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972139947 NPPES
Oregon Other T1402 OREGON LICENSE

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