Active NPI
Ryan Boriskin
- Mental Health Counselor
- Oregon City, OR
National Provider Identifier
1659540540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2229
- Practice address
- 2051 Kaen Rd
Suite 367
Oregon City, OR 97045-4035 - Phone
- (503) 742-5360
- Fax
- (503) 742-5301
- NPI assigned
- Feb 25, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 02-11-30 | OR | |
| Mental Health Counselor | 101YM0800X | C2229 | OR | Primary |
Addresses
Primary practice location
2051 Kaen Rd
Suite 367
Oregon City, OR 97045-4035
Mailing address
2051 Kaen Rd
Suite 367
Oregon City, OR 97045-4035
Phone (503) 742-5360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2229 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1659540540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 KAEN RD",
"address_2": "SUITE 367",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454035",
"telephone_number": "503-742-5360",
"fax_number": "503-742-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 KAEN RD",
"address_2": "SUITE 367",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454035",
"telephone_number": "503-742-5360",
"fax_number": "503-742-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORISKIN",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "02-11-30",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.