MEDICARE: JENNIFER RYAN

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
1	101Y00000X	Counselor	LH00010873	WA

General Provider Information

NPI Number	:	1689518649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER RYAN

Provider Business Mailing Address
First Line	:	2950 NEWMARKET ST
Second Line	:	STE 101-378
City	:	BELLINGHAM
State	:	WA
Zip	:	98226
Country	:	US
Telephone Number	:	360-319-1976
Fax Number	:

Provider Business Practice Location Address
First Line	:	2212 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2383
Country	:	US
Telephone Number	:	360-386-8728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “ JENNIFER RYAN ” Practice Location

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