Healthcare Provider Details

I. General information

NPI: 1851149603
Provider Name (Legal Business Name): RYEN ORIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9034 E EASTER PL STE 200
CENTENNIAL CO
80112-2104
US

IV. Provider business mailing address

9034 E EASTER PL STE 200
CENTENNIAL CO
80112-2104
US

V. Phone/Fax

Practice location:
  • Phone: 719-398-5544
  • Fax:
Mailing address:
  • Phone: 719-398-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: