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NPI Code Detail

MEDICARE: RYAN PATRICK FRY

MEDICARE: RYAN PATRICK FRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMC70035912WA

General Provider Information

NPI Number : 1215756143
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN PATRICK FRY
Provider Business Mailing Address
First Line : 100 N HOWARD ST STE W
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0508
Country : US
Telephone Number : 206-580-3254
Fax Number :
Provider Business Practice Location Address
First Line : 101 ELLIOTT AVE W STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4292
Country : US
Telephone Number : 206-580-3254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2024
Last Update Date : 02/04/2026

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Directions to “ RYAN PATRICK FRY ” Practice Location

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