Healthcare Provider Details

I. General information

NPI: 1700464609
Provider Name (Legal Business Name): FRANK RYAN BUCHANAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 CAPITAL MALL DR SW STE 201
OLYMPIA WA
98502-8702
US

IV. Provider business mailing address

3920 CAPITAL MALL DR SW STE 201
OLYMPIA WA
98502-8702
US

V. Phone/Fax

Practice location:
  • Phone: 360-706-6280
  • Fax:
Mailing address:
  • Phone: 360-706-6280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number70123045
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: