Ervin, Ryan Ross

Ervin, Ryan Ross is an individual health care provider with primary practice located at Po Box 554 , Hilo HI 96721-0554. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ervin, Ryan Ross can be contacted via phone (808) 755-3072.

Contact Information

Primary practice address
Po Box 554 Hilo HI 96721-0554
Phone: (808) 755-3072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L11132 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-5235 Hawaii
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X L11132 Oregon

Profile Details

NPI number 1841851508
LBN Legal business name Ervin, Ryan Ross
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Dec 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841851508 NPPES
Oregon MEDICAID 500765374

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