Provider Demographics
NPI:1477324093
Name:SOLORZANO-RUELAS, RAMON DANIEL
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:DANIEL
Last Name:SOLORZANO-RUELAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7207 NE FAIRWAY AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-3692
Mailing Address - Country:US
Mailing Address - Phone:503-931-5832
Mailing Address - Fax:360-334-9955
Practice Address - Street 1:7207 NE FAIRWAY AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-3692
Practice Address - Country:US
Practice Address - Phone:503-931-5832
Practice Address - Fax:360-334-9955
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPENDING343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)