Provider Demographics
NPI:1205183290
Name:THREM, RYAN (CPO)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:THREM
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S 38TH CT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5743
Mailing Address - Country:US
Mailing Address - Phone:425-226-5922
Mailing Address - Fax:425-226-5927
Practice Address - Street 1:350 S 38TH CT
Practice Address - Street 2:SUITE 110
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5743
Practice Address - Country:US
Practice Address - Phone:425-226-5922
Practice Address - Fax:425-226-5927
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter