Provider Demographics
NPI:1730417940
Name:RAMOS, RAVYN (ND, ARNP)
Entity type:Individual
Prefix:DR
First Name:RAVYN
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:ND, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N 175TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5101
Mailing Address - Country:US
Mailing Address - Phone:425-770-4247
Mailing Address - Fax:
Practice Address - Street 1:1701 N 175TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5101
Practice Address - Country:US
Practice Address - Phone:425-770-4247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-28
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60114366175F00000X
WAAP60122500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No175F00000XOther Service ProvidersNaturopath