Ryan Robert Lutz, MSW, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1982127817
StatusActive
Last updated in NPPESJan 5, 2026
Details
- NPI
- 1982127817
- Entity type
- Individual (NPI-1)
- Name
- Ryan Robert Lutz
- Credential
- MSW, LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2017
- Certification date
- Jan 5, 2026
- Last updated
- Jan 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | A12194 | OR | Yes |
Practice location
4223 Se 66th AvePortland, OR 97206-3658
Phone 503-400-3265
Mailing address
4223 Se 66th AvePortland, OR 97206-3658
Phone 503-400-3265
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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