Ryder, Julie J

Ryder, Julie J is an sole proprietor health care provider with primary practice located at 409 Pine St Suite 200, Klamath Falls OR 97601-6020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ryder, Julie J can be contacted via phone (541) 273-0515.

Contact Information

Primary practice address
409 Pine St Suite 200 Klamath Falls OR 97601-6020
Fax: (541) 727-0482
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200750026NPPMHNPPP Oregon

Profile Details

NPI number 1184634743
LBN Legal business name Ryder, Julie J
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jun 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184634743 NPPES
Oregon Other P01093314 RR MEDICARE
Oregon Other R165122 RR MEDICARE
Oregon MEDICAID 218345 RR MEDICARE

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