Individual provider · Type 1 NPI

Ryan Hermansen, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1831681618 Active

Practice location

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612

Fax (503) 814-4444

Other practice locations

  • 1336 NW Flanders St # 140, Portland, OR 97209-2645 · (971) 238-9767

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X14301822-1206 (UT)
Medical Physician Assistant Primary 363AM0700XPA194995 (OR)
Medical Physician Assistant 363AM0700XPA61585177 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1831681618

Ryan Hermansen, PA-C's National Provider Identifier is 1831681618, issued on Jun 6, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Sep 5, 2026.