Healthcare Provider Details

I. General information

NPI: 1356653349
Provider Name (Legal Business Name): RYAN HEATH HOSKEN ND, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 75TH ST SE # B-11
EVERETT WA
98203-5574
US

IV. Provider business mailing address

323 75TH ST SE # B-11
EVERETT WA
98203-5574
US

V. Phone/Fax

Practice location:
  • Phone: 206-954-4324
  • Fax:
Mailing address:
  • Phone: 206-954-4324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001231
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN000168182
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: