Individual provider Active NPI

Christine Ryu, MD

  • Ophthalmology Physician
  • Lake Oswego, OR
National Provider Identifier
1821615808
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD229531 Issued in OR
Practice address
9 Monroe Pkwy Ste 160
Lake Oswego, OR 97035-8863
Phone
(503) 636-2551
Fax
(503) 363-3055
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD229531 OR Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 2024012069 MO

Addresses

Primary practice location

9 Monroe Pkwy Ste 160
Lake Oswego, OR 97035-8863

Mailing address

9 Monroe Pkwy Ste 160
Lake Oswego, OR 97035-8863
Phone (503) 636-2551

Other practice location 1

9135 SW Barnes Rd Ste 961
Portland, OR 97225-6699
Phone (503) 292-0848

Other identifiers 1

IdentifierTypeStateIssuer
200142568MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708003507 MO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Ophthalmology 1153735626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Southern California Keck School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Plastic and Cosmetic Surgery IncGroup PAC ID 5991765919, 4 clinicians
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

12990 Manchester Rd
Suite 102
Des Peres, MO 63131-1860
Phone (314) 567-3567

4901 Forest Park Ave
FL 6
Saint Louis, MO 63108-1495
Phone (314) 362-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024012069MOMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2024 Accepting new patients
Ophthalmic Plastic & Cosmetic Surgery, Inc. CurrentSince Aug 8, 2024 Accepting new patients
Washington University CurrentSince Jul 1, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

3530 Jeffco Blvd
Ste 100
Arnold, MO 63010
Phone (314) 567-3567

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

915 N Grand Blvd
Saint Louis, MO 63106
Phone (314) 289-6434

12990 Manchester Rd
Ste 102
Saint Louis, MO 63131
Phone (314) 567-3567

517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1821615808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 160",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358863",
            "telephone_number": "503-636-2551",
            "fax_number": "503-636-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 160",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358863",
            "telephone_number": "503-636-2551",
            "fax_number": "503-363-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 SW Barnes Rd Ste 961",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256699",
            "country_code": "US",
            "telephone_number": "503-292-0848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYU",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD229531",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2024012069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200142568",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.