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Ryan Clough

Student in an Organized Health Care Education/Training Program in Cheney, WA. Individual provider (NPI-1).

NPI number1073431888
StatusActive
Last updated in NPPESJul 8, 2026

Details

NPI
1073431888
Entity type
Individual (NPI-1)
Name
Ryan Clough
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 8, 2026
Certification date
Jul 8, 2026
Last updated
Jul 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–WAYes

Practice location

200 Physical Education Building
Cheney, WA 99004-2476

Phone 509-359-2427

Mailing address

5342 E Blaisdell Ln
Port Orchard, WA 98366-8007

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Cheney, WA

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