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NPI Code Detail

MEDICARE: RYAN ARNOLD PMHNP

MEDICARE: RYAN ARNOLD PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61611873WA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner10018605OR

General Provider Information

NPI Number : 1407345614
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ARNOLD PMHNP
Provider Business Mailing Address
First Line : 4400 NE 77TH AVE STE 275
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-6857
Country : US
Telephone Number : 360-600-7043
Fax Number : 360-800-5489
Provider Business Practice Location Address
First Line : 4400 NE 77TH AVE STE 275
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-6857
Country : US
Telephone Number : 360-600-7043
Fax Number : 360-800-5489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 06/02/2026

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Directions to “ RYAN ARNOLD PMHNP” Practice Location

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