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

Ryan Matthew Fenoli

Individual provider Physician Assistant · NPI 1225701600

Ryan Matthew Fenoli is a Physician Assistant in Federal Way, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

505 S 336th St Ste 500
Federal Way, WA 98003-8300
Phone: (657) 400-5180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1225701600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 30, 2021
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021
Mailing address7718 Ne 151st Ln, Kenmore, WA 98028-5600

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