Jennifer Ann Ryan

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

201506586CNA Issued in OR

Practice address

4380 SW Macadam Ave Ste 530
Portland, OR 97239-6408

Phone

(503) 670-4707

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1518528694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 N DECATUR ST APT 8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 SW MACADAM AVE STE 530",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396408",
            "telephone_number": "503-670-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": "201506586CNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ryan, ND, LAC
• Eric R Ryan, MD
• Erin Ryan
• Hannah I Ryan, M.D.
• Jennifer Ryan, QMHA
• Jennifer Autumn Ryan, B.A.
• Jennifer Joan Ryan, ND
• John Ryan
• Katherina Ann Ryan, LPN
• Kathleen Anne Ryan, RPH

• Nurse's Aide in Portland, OR
• Providers in Portland, OR by specialty
• Nurse's Aide in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.