Provider Demographics
NPI:1235198375
Name:NORTH, RYAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:NORTH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356168
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6168
Mailing Address - Country:US
Mailing Address - Phone:206-598-5367
Mailing Address - Fax:206-598-7817
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356168
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6168
Practice Address - Country:US
Practice Address - Phone:206-598-5367
Practice Address - Fax:206-598-7817
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000399741835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist