| Kevin Ryan PC | |
|
119 E 2nd St Ste 210 The Dalles OR 97058-1796 | |
| (541) 296-6114 | |
| (541) 296-6577 |
| Full Name | Kevin Ryan PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 E 2nd St Ste 210, The Dalles, Oregon |
| Authorized Official Name and Position | Kevin T Ryan (COUNSELOR / PRACTIONEER) |
| Authorized Official Contact | 5412966114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Ryan PC 119 E 2nd St Ste 210 The Dalles OR 97058-1796 Ph: (541) 340-0402 | Kevin Ryan PC 119 E 2nd St Ste 210 The Dalles OR 97058-1796 Ph: (541) 296-6114 |
| NPI Number | 1972139947 |
|---|---|
| Provider Enumeration Date | 03/21/2020 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 9638682131 |
|---|---|
| Medicare Enrollment ID | O20250627003248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972139947 | NPI | - | NPPES |
| T1402 | Other | OR | OREGON LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
| Provider Name | Kevin Ryan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033398284 PECOS PAC ID: 0547773046 Enrollment ID: I20250627003410 |
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Wasco County Community Corrections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 E 7th St, The Dalles, OR 97058 Phone: 541-506-2570 Fax: 541-506-2571 |
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Mid-columbia Child & Family Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3221 W 10th St, The Dalles, OR 97058 Phone: 541-298-5104 Fax: 541-298-4108 |
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Jeremy A. Springer, LCSW Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Washington St, The Dalles, OR 97058 Phone: 541-861-9128 Fax: 509-773-3247 |