Active NPI
Ryan Walker
- Physician Assistant
- Newberg, OR
National Provider Identifier
1508686411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA231807
- Practice address
- 414 N Meridian St
Newberg, OR 97132-2697 - Phone
- (503) 538-8383
- NPI assigned
- Oct 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA231807 | OR | Primary |
Addresses
Primary practice location
414 N Meridian St
Newberg, OR 97132-2697
Mailing address
414 N Meridian St
Newberg, OR 97132-2697
Other practice location 1
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1508686411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N MERIDIAN ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N MERIDIAN ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322697",
"telephone_number": "503-538-8383"
}
],
"practiceLocations": [
{
"address_1": "1515 Village Dr",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974249700",
"country_code": "US",
"telephone_number": "541-767-5222",
"fax_number": "541-767-5230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-15",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA231807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.