Active NPI
Ryan Hermansen, PA-C
- Medical Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA194995
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Columbia Metabolic Clinic | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new 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 | |
| Oregon Heart Center PC | Current | Accepting new patients | |
| Icco, LLC | Current | 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
- rhermansen2435877@oc.providencedirect.org
- 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.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Cardiovascular Disease Physician
- Salem, OR
- NPI 1902138969
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1386962587
OR
-
- Physician Assistant
- Portland, OR
- NPI 1386587863
-
dba Providence Medical Group
- Neurology with Special Qualifications in Child Neurology Physician
- Portland, OR
- NPI 1316125149
-
dba Providence Portland Medical Center
- Clinical Pathology Physician
- Portland, OR
- NPI 1740732650
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
dba Providence Newberg Medical Center
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
dba Providence Hood River Memorial Hospital
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.