MEDICARE: DR. RYAN CHARLES STROH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH60979298	WA

General Provider Information

NPI Number	:	1780239566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN CHARLES STROH DC

Provider Business Mailing Address
First Line	:	9212 E MONTGOMERY AVE STE 203
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-4267
Country	:	US
Telephone Number	:	509-255-8989
Fax Number	:	509-315-8021

Provider Business Practice Location Address
First Line	:	9212 E MONTGOMERY AVE STE 203
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-4267
Country	:	US
Telephone Number	:	509-255-8989
Fax Number	:	509-315-8021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2019
Last Update Date	:	12/09/2020

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