Provider Demographics
NPI:1841743796
Name:RYAN HANKS PLLC
Entity type:Organization
Organization Name:RYAN HANKS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RHYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-840-0789
Mailing Address - Street 1:8012 112TH STREET CT E
Mailing Address - Street 2:160
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-7856
Mailing Address - Country:US
Mailing Address - Phone:253-840-0789
Mailing Address - Fax:253-841-6832
Practice Address - Street 1:8012 112TH STREET CT E
Practice Address - Street 2:160
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-7856
Practice Address - Country:US
Practice Address - Phone:253-840-0789
Practice Address - Fax:253-841-6832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60106572122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty