Provider Demographics
NPI:1134326283
Name:DOWNEY, RYAN ROSS (DPM)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:ROSS
Last Name:DOWNEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10049 KITSAP MALL BLVD NW
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8903
Mailing Address - Country:US
Mailing Address - Phone:360-698-2505
Mailing Address - Fax:360-698-2514
Practice Address - Street 1:10049 KITSAP MALL BLVD NW
Practice Address - Street 2:SUITE 109
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8903
Practice Address - Country:US
Practice Address - Phone:360-698-2505
Practice Address - Fax:360-698-2514
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO 60158600213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery