Most Relevant Information
Provider Data
| NPI Number: | 1003593468 |
| Provider Name: | RYAN ERTMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2023 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
811 MADISON ST
EVERETT
WA
982034543
Practice Location Phone/Fax
| Phone: | 4252124200 |
| Fax: | 4252124201 |
Provider Mailing Location
PO BOX 2569
EVERETT
WA
982130569
Provider Mailing Phone/Fax
| Phone: | 4252124200 |
| Fax: | 4252124201 |