Provider Demographics
NPI:1851318851
Name:HOUY, SOLY RYAN (PAC MMS)
Entity Type:Individual
Prefix:MR
First Name:SOLY
Middle Name:RYAN
Last Name:HOUY
Suffix:
Gender:M
Credentials:PAC MMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3909 CREEKSIDE LOOP
Mailing Address - Street 2:SUITE 120
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-4880
Mailing Address - Country:US
Mailing Address - Phone:509-248-6616
Mailing Address - Fax:509-248-4983
Practice Address - Street 1:3909 CREEKSIDE LOOP
Practice Address - Street 2:SUITE 120
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4880
Practice Address - Country:US
Practice Address - Phone:509-248-6616
Practice Address - Fax:509-248-4983
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA 60107201363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1068966OtherNCCPA NATIONAL COMMISSION
WAWA 60107201OtherWASHINGTON STATE DEPARTMENT OF HEALTH
CAPA18365OtherPHYSICIAN ASSISTANT COMMI