Active NPI
Ryan Heer, ND
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1811548704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4273
- Practice address
- 1567 SE Tacoma St
Portland, OR 97202-6643 - Phone
- (503) 233-8113
- NPI assigned
- Sep 23, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4273 | OR | Primary |
Addresses
Primary practice location
1567 SE Tacoma St
Portland, OR 97202-6643
Mailing address
11 Municipal Dr Ste 200
Fishers, IN 46038-1634
Phone (317) 426-7557
Other practice location 1
11 Municipal Dr Ste 220
Fishers, IN 46038-1634
Phone (317) 426-7557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.sellwoodfamilymedicine.com |
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 |
|---|---|---|---|
| 4273 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ind ND, LLC | Naturopath | Current | Accepting new patients |
Locations
11 Municipal Dr
Ste 200
Fishers, IN 46038
Phone (317) 663-0683
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1811548704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MUNICIPAL DR STE 200",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381634",
"telephone_number": "317-426-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1567 SE TACOMA ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026643",
"telephone_number": "503-233-8113"
}
],
"practiceLocations": [
{
"address_1": "11 Municipal Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460381634",
"country_code": "US",
"telephone_number": "317-426-7557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEER",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-23",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "4273",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.sellwoodfamilymedicine.com",
"affiliation": "N",
"address_1": "1567 SE Tacoma St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972026643",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.