Individual provider Active NPI

Ryan Gardner Maxwell, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1316352651
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201407865NP-PP Issued in OR
Practice address
8905 SW Nimbus Ave Ste 300
Beaverton, OR 97008-7162
Phone
(503) 352-0468
NPI assigned
Jun 25, 2014
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201407865NP-PP OR Primary

Addresses

Primary practice location

8905 SW Nimbus Ave Ste 300
Beaverton, OR 97008-7162

Mailing address

8905 SW Nimbus Ave Ste 300
Beaverton, OR 97008-7162
Phone (503) 352-0468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921000083 OR Practitioner - Nurse Practitioner 6901193812 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicops, LLC Family CurrentSince Aug 1, 2016 Accepting new patients
Integrated Joint Specialists LLC CurrentSince Mar 1, 2019 Accepting new patients
Integrated Joint Specialists LLC Past Accepting new patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients

Locations

2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800

2459 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 275-8783

10250 SW Greenburg Rd
Ste 115
Tigard, OR 97223
Phone (503) 719-6783

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1316352651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 SW NIMBUS AVE STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087162",
            "telephone_number": "503-352-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 SW NIMBUS AVE STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087162",
            "telephone_number": "503-352-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "RYAN",
        "middle_name": "GARDNER",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201407865NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.