Ryder, Julie J
Ryder, Julie J is an sole proprietor health care provider with primary practice located at 409 Pine St Suite 200, Klamath Falls OR 97601-6020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ryder, Julie J can be contacted via phone (541) 273-0515.Contact Information
Primary practice address
409 Pine St Suite 200
Klamath Falls OR 97601-6020
Phone: (541) 273-0515
Fax: (541) 727-0482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 200750026NPPMHNPPP | Oregon |
Profile Details
| NPI number | 1184634743 |
|---|---|
| LBN Legal business name | Ryder, Julie J |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jun 11th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184634743 | NPPES |
| Oregon | Other | P01093314 | RR MEDICARE |
| Oregon | Other | R165122 | RR MEDICARE |
| Oregon | MEDICAID | 218345 | RR MEDICARE |
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