Healthcare Provider Details

I. General information

NPI: 1447165667
Provider Name (Legal Business Name): RYAN FIELDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 2ND AVE S
SEATTLE WA
98104-2680
US

IV. Provider business mailing address

21011 1ST PL S
DES MOINES WA
98198-2905
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146E00000X
TaxonomyCommunity Paramedic
License NumberM5060811
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: