Ryan Clough

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cheney, WA

NPI 1073431888 · NPPES record last updated Jul 8, 2026

Key facts

NPI
1073431888
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
200 Physical Education Building
Cheney, WA 99004-2476
Phone
(509) 359-2427
NPI assigned
Jul 8, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WA Yes

Addresses

Primary practice location

200 Physical Education Building
Cheney, WA 99004-2476

Mailing address

5342 E Blaisdell LN
Port Orchard, WA 98366-8007

Other providers in Cheney, WA

All providers in Cheney, WA · Student in an Organized Health Care Education/Training Program in Washington

Sources for this page

Verify at the official NPI Registry.