Healthcare Provider Details

I. General information

NPI: 1437526696
Provider Name (Legal Business Name): RYAN KNIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 RIMLAND DR STE 320
BELLINGHAM WA
98226-6014
US

IV. Provider business mailing address

2211 RIMLAND DR STE 320
BELLINGHAM WA
98226-6014
US

V. Phone/Fax

Practice location:
  • Phone: 360-752-5175
  • Fax: 360-756-4805
Mailing address:
  • Phone: 360-752-5175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.RN.60570075.MSL
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP.AP.70170009-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: