Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ryan Botham, CCP

Individual provider Perfusionist · NPI 1356171292

Mr. Ryan Botham, CCP is a Perfusionist in Seattle, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1100 9th Ave
Seattle, WA 98101-2756
Phone: (360) 782-7108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1356171292
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address15018 12th Dr Se, Mill Creek, WA 98012-1395

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