Columbia Metabolic Clinic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

COLUMBIA METABOLIC CLINIC

Practice address

1336 NW Flanders St
Portland, OR 97209-2645

Phone

(971) 238-9767

NPI assigned

Apr 10, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Hermansen, PA-CNPI 1831681618

Title

Owner

Phone

(801) 755-9680

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Hermansen, PA-C

  • Medical Physician Assistant
  • Portland, OR
  • NPI 1831681618
  NPD Authorized official

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1386587863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NW FLANDERS ST # 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092645",
            "telephone_number": "971-238-9767",
            "fax_number": "971-228-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 NW FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092645",
            "telephone_number": "971-238-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA METABOLIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "HERMANSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-755-9680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Care LLC
• Columbia Family Medical Associates, PC
• Columbia Medical Alarm, Inc.
• Columbia Medical Clinic PC
• Columbia Medical Clinic, PC
• Columbia Neurosurgical Associates, LLC
• Columbia Neurosurgical Trauma, LLC
• Columbia Optical Co.
• Columbia Orthopaedic Associates PC
• Columbia Park Oral Surgery PC

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.