Provider Demographics
NPI:1134379019
Name:AYRES, RON (RCP)
Entity type:Individual
Prefix:MR
First Name:RON
Middle Name:
Last Name:AYRES
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20002 SE 42ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-9432
Mailing Address - Country:US
Mailing Address - Phone:360-833-8352
Mailing Address - Fax:360-833-9412
Practice Address - Street 1:20002 SE 42ND ST
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-9432
Practice Address - Country:US
Practice Address - Phone:360-833-8352
Practice Address - Fax:360-833-9412
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRT-P-0010292278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care