MEDICARE: DR. RYAN BLAND DC

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	111N00000X	Chiropractor	X012541	NY
2	111N00000X	Chiropractor	CH61006230	WA

General Provider Information

NPI Number	:	1871985937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN BLAND DC

Provider Business Mailing Address
First Line	:	1019 REGENTS BLVD STE 203
Second Line	:
City	:	FIRCREST
State	:	WA
Zip	:	98466-6037
Country	:	US
Telephone Number	:	253-302-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 REGENTS BLVD STE 203
Second Line	:
City	:	FIRCREST
State	:	WA
Zip	:	98466-6037
Country	:	US
Telephone Number	:	253-302-3131
Fax Number	:

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

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	03/18/2022

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Directions to “ DR. RYAN BLAND DC” Practice Location

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