Columbia Metabolic Clinic
Physician Assistant in Portland, OR. Organization (NPI-2).
NPI number1386587863
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1386587863
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbia Metabolic Clinic
- Organization subpart
- No
- Enumeration date
- Apr 10, 2026
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1336 Nw Flanders StPortland, OR 97209-2645
Phone 971-238-9767
Mailing address
1336 Nw Flanders St # 140Portland, OR 97209-2645
Phone 971-238-9767 · Fax 971-228-1709
Authorized official
Ryan Hermansen
Owner
8017559680
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