Provider Demographics
NPI:1588624126
Name:MCDAID, RYAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:A
Last Name:MCDAID
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RYAN
Other - Middle Name:M
Other - Last Name:MCDAID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:925 COMMERCIAL ST SE
Mailing Address - Street 2:STE 260
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4288
Mailing Address - Country:US
Mailing Address - Phone:503-391-9222
Mailing Address - Fax:503-363-8193
Practice Address - Street 1:925 COMMERCIAL ST SE
Practice Address - Street 2:SUITE 260
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4172
Practice Address - Country:US
Practice Address - Phone:503-391-9222
Practice Address - Fax:503-863-8193
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR71-3627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor