Ryan Arnold, PMHNP | NPI 1407345614

Key facts

NPI: 1407345614
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: AP61611873 (WA)
Practice address: 4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Phone: (360) 600-7043
Fax: (360) 800-5489
NPI assigned: May 2, 2018
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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

Bridge City Family Medical Clinic, PC Multi-Specialty Clinic/Center · Portland, OR · NPI 1548330715

Medicare reassignment Care Compare group NPD OR · SINGLE SPECIALTY

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Bridge City Family Medical Clinic PC (7 clinicians)

Practice addresses (Care Compare)

1410 NE 106TH Ave
Portland, OR 97220-3934
Phone (503) 460-0405

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240311003927	OR	Practitioner - Nurse Practitioner	0648616797	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
AP61611873	WA	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Bridge City Family Medical Clinic, PC	Single Specialty	Current since Feb 8, 2024	Accepting new patients

Locations

1410 NE 106th Ave
Portland, OR 97220
Phone (503) 460-0405

1410 NE 106th Ave
Ste B
Portland, OR 97220
Phone (503) 460-0405

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	10018605	OR
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X	AP61611873	WA	Yes

Addresses

Primary practice location

4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857

Mailing address

4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Phone (360) 600-7043

Other providers in Vancouver, WA

All providers in Vancouver, WA · Psychiatric/Mental Health Nurse Practitioner in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.