Active NPI
Frank Ryder, CST
- Surgical Assistant
- Portland, OR
National Provider Identifier
1700965423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 06-156
- Practice address
- 11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933 - Phone
- (503) 214-5200
- Fax
- (503) 906-6613
- NPI assigned
- Nov 3, 2006
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 06-156 | OR | Primary |
Addresses
Primary practice location
11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933
Mailing address
11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933
Phone (503) 214-5200
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11782 SW Barnes Rd
Suite 200
Portland, OR 97225-5931
11782 SW Barnes Rd
Suite 300
Portland, OR 97225-5933
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": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1700965423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255933",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255933",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "FRANK",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "OR",
"license": "06-156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.