Provider Demographics
NPI:1932506060
Name:FURUYA, RYAN (MED)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:FURUYA
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROPPONGI 7-9-5 3F 4F, MINATO-KU
Mailing Address - Street 2:
Mailing Address - City:TOKYO
Mailing Address - State:JAPAN
Mailing Address - Zip Code:1060034
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ROPPONGI 7-9-5 3F 4F, MINATOKU
Practice Address - Street 2:
Practice Address - City:TOKYO
Practice Address - State:JAPAN
Practice Address - Zip Code:1060034
Practice Address - Country:JP
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60488470101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor