Active NPI
Emily Ryan, ND, LAC
- Naturopath
- Portland, OR
National Provider Identifier
1235697194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4158
- Practice address
- 630 SE Powell Blvd
Portland, OR 97202-2623 - Phone
- (503) 489-8730
- Fax
- (503) 689-8555
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 188255 | OR | |
| Naturopath | 175F00000X | 4158 | OR | Primary |
Addresses
Primary practice location
630 SE Powell Blvd
Portland, OR 97202-2623
Mailing address
6535 SE Tolman St
Portland, OR 97206-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4158 | OR | MD | Mental Health Counselor |
| 188255 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1235697194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 SE TOLMAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972022623",
"telephone_number": "503-489-8730",
"fax_number": "503-689-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "188255",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.