Individual provider Active NPI

Ryan Hermansen, PA-C

  • Medical Physician Assistant
  • Portland, OR
National Provider Identifier
1831681618
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA194995 Issued in OR
Practice address
9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612
Phone
(503) 814-4440
Fax
(503) 814-4444
NPI assigned
Jun 6, 2018
Last updated
Sep 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 14301822-1206 UT
Medical Physician Assistant 363AM0700X PA194995 OR Primary
Medical Physician Assistant 363AM0700X PA61585177 WA

Addresses

Primary practice location

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612

Mailing address

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612
Phone (971) 238-9767

Other practice location 1

1336 NW Flanders St # 140
Portland, OR 97209-2645
Phone (971) 238-9767

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200212001924 OR Practitioner - Physician Assistant 1658707500 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

2902 Tom Tennant Dr
Woodburn, OR 97071-2828
Phone (541) 640-7625

4400 NE Halsey St
Portland, OR 97213-1545

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473

9205 SW Barnes Rd
Portland, OR 97225-6603

9427 SW Barnes Rd
Portland, OR 97225-6652

9427 SW Barnes Rd
Suite 495
Portland, OR 97225-6612
Phone (503) 297-6234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 20, 2022 Accepting new patients
American Current Care P.a. CurrentSince Nov 7, 2025 Accepting new patients
Columbia Metabolic Clinic Current Accepting new patients
American Current Care PA CurrentSince Nov 7, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 20, 2022 Accepting new patients
Icco, LLC Current Accepting new patients
Icco, LLC CurrentSince Jan 18, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 20, 2022 Accepting new patients
Icco LLC CurrentSince Jan 18, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 20, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 20, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 20, 2022 Accepting new patients
Oregon Heart Center PC CurrentSince Jan 28, 2020 Accepting new patients
Icco, LLC CurrentSince Jan 18, 2022 Accepting new patients

Locations

1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023

186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468

6405 Rosewood St
Ste B
Lake Oswego, OR 97035
Phone (503) 675-7603

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

4805 NE Glisan St
Ste 3E14
Portland, OR 97213

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9427 SW Barnes Rd
Ste 495
Portland, OR 97225
Phone (503) 216-0900

610 Hawthorne Ave SE
Ste 110
Salem, OR 97301
Phone (503) 561-7160

Interoperability endpoints

  • Direct secure messaging: rhermansen2435877@oc.providencedirect.org
  • Direct secure messaging: ryan.hermansen.1@17650.direct.athenahealth.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 7

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1831681618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD STE 495",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256612",
            "telephone_number": "971-238-9767",
            "fax_number": "971-228-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD STE 495",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256612",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 NW Flanders St # 140",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092645",
            "country_code": "US",
            "telephone_number": "971-238-9767",
            "fax_number": "971-228-1709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANSEN",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "14301822-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA194995",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61585177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.