Individual provider · Type 1 NPI

Ryan Clough

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

NPI number 1073431888 Active

Practice location

200 Physical Education Building
Cheney, WA 99004-2476

Mailing address

5342 E Blaisdell Ln
Port Orchard, WA 98366-8007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073431888

Ryan Clough's National Provider Identifier is 1073431888, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cheney, WA. The record was last updated on Jul 8, 2026.