Active NPI
Ryan Wayne Falconer
- Surgical Assistant
- Portland, OR
National Provider Identifier
1932005857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 167021
- Practice address
- 1200 NW Naito Pkwy Ste 310
Portland, OR 97209-2829 - Phone
- (503) 241-9201
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | 167021 | NU | Primary |
Addresses
Primary practice location
1200 NW Naito Pkwy Ste 310
Portland, OR 97209-2829
Mailing address
17183 SW Berkeley LN
Beaverton, OR 97003-4232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1932005857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17183 SW BERKELEY LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970034232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NW NAITO PKWY STE 310",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092829",
"telephone_number": "503-241-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCONER",
"first_name": "RYAN",
"middle_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NU",
"license": "167021",
"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 Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.