Ryan Robert Croft, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA207374 Issued in OR

Practice address

1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894

Phone

(503) 359-4773

Fax

(503) 359-3809

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: ryan.croft.1@26386.direct.athenahealth.com

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.

• Timothy J Gray DO LLC

  dba Mountain View Medical Center

  • Family Medicine Physician
  • Forest Grove, OR
  • NPI 1477518694
  Medicare reassignment

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1588328314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162894",
            "telephone_number": "033-594-7735",
            "fax_number": "503-359-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162894",
            "telephone_number": "503-359-4773",
            "fax_number": "503-359-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA207374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Corriea
• Jennifer Lee Coyle, OD, MS, FAAO
• Shawna Cozens, PA
• Sarah Elizabeth Craft, CD(DONA)
• John Carl Crippen, LMFT
• Darcy Catherine Cruikshank, DMD MSD
• Elizabeth Cruz-Lopez
• Savonna Orinda Cudaback
• Benjamin C Curtis
• Farah Grace Custodio

• Medical Physician Assistant in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.

Verify at the official NPI Registry.