Provider Demographics
NPI:1992801922
Name:WOODBURY, RYAN O (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:O
Last Name:WOODBURY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16714 SMOKEY POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8410
Mailing Address - Country:US
Mailing Address - Phone:360-659-8464
Mailing Address - Fax:360-659-3044
Practice Address - Street 1:16714 SMOKEY POINT BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8410
Practice Address - Country:US
Practice Address - Phone:360-465-9846
Practice Address - Fax:360-659-3044
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI925111N00000X
WACH00034770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI243501OtherHMSA