Columbia Metabolic Cinic · Physician Assistant

1336 Nw Flanders St, Portland, OR 97209-2645

Overview

Columbia Metabolic Cinic is a Physician Assistant (organization) practicing in Portland, Oregon. The National Provider Identifier (NPI) is #1386587863, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 1336 Nw Flanders St, Portland, OR 97209-2645; the contact telephone number is 9712389767. The primary taxonomy of Columbia Metabolic Cinic is Physician Assistant (363A00000X). The authorized official for Columbia Metabolic Cinic is Mr. Ryan Hermansen (Owner).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1386587863
Entity Type Organization
Organization Name COLUMBIA METABOLIC CINIC
Provider Name COLUMBIA METABOLIC CINIC
Practice Address 1336 Nw Flanders St
Portland
OR 97209-2645
Practice Telephone 9712389767
Mailing Address 1336 Nw Flanders St
Portland
OR 97209-2645
Certification Date 2026-04-10
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Organization Subpart N

Authorized Official Information

Official Name MR. RYAN HERMANSEN
Official Title OWNER
Credential PA-C
Telephone 8017559680

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Jacob Somoza 565 Turnpike St Ste 85, North Andover, MA 01845-5936Physician Assistant2026-06-06
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Sloan Nicole Mann 21 County Road 1701, Cullman, AL 35058-7633Physician Assistant2026-06-06
Casey Lynn Treon 34 Angela St, Canton, MA 02021-2250Physician Assistant2026-06-06
Christina Cauley 1945 Nj-33, Neptune City, NJ 07753Physician Assistant2026-06-05
Nesreen Dawoud Ahmad 1972 Clark Ave, Alliance, OH 44601-3993Physician Assistant2026-06-06
Abigail Boulos 1128 Stonecrest Dr, Tarentum, PA 15084-2640Physician Assistant2026-06-06
Santiago Hernandez Cruz 1412 Mockingbird Ln Apt M305, Midland, TX 79705-2073Physician Assistant2026-06-05
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Location Information

Street Address 1336 NW FLANDERS ST
City PORTLAND
State OR
Zip Code 97209-2645
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Compassionate Care & Staffing LLC 1336 Nw Flanders St Ste 353, Portland, OR 97209-2645Non-emergency Medical Transport (VAN)2025-11-01
Stephanie Marie Schaefer 1336 Nw Flanders St # 143, Portland, OR 97209-2645Clinical Psychologist2007-01-09
Alexandra Crockett 1336 Nw Flanders St Ste 100, Portland, OR 97209-2645Clinical Psychologist2014-06-10
Auxilia Health 1336 Nw Flanders St # 203, Portland, OR 97209-2645Psychiatric/Mental Health Nurse Practitioner2026-02-02
Volition, LLC 1336 Nw Flanders St Ste 253, Portland, OR 97209-2645Psychiatry Physician2017-02-16

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Tim Barnes 324 Nw Davis Street, Portland, OR 97209Addiction (Substance Use Disorder) Counselor2016-06-08
Vincent Martin 210 Sw 17th Avenue, Portland, OR 97209Massage Therapist2019-05-21
Jennifer Marie Dodd 1722 Nw Raleigh St Spc 412, Portland, OR 97209Clinical Social Worker2018-10-11
Diane Elizabeth Baker 619 Sw 6th Ave., 5th Floor, Portland, OR 97209Clinical Social Worker2022-12-13
Julie Kay Igarta · Julie Kay Tobey 140 Northwest 14th Avenue, Portland, OR 97209Registered Nurse First Assistant2020-02-18
Geneva Ann Eagon · Geneva Ann Green 1200 Nw Naito Pkwy Suite #310, Portland, OR 97209Physician Assistant2020-09-16
Amara Tekus 1301 Nw Hoyt Street, Suite 300, Portland, OR 97209Acupuncturist2013-11-14
With The Flow Psychotherapy, LLC 1308 Nw 20th Ave., Suite 11, Portland, OR 97209Adult Mental Health Clinic/Center2023-09-18
Tiffany Rose Campbell 508 Nw 5th Ave., Portland, OR 97209Counselor2024-03-07
Kimberly Sanchez-Oakes 19735 River Rd., I, Portland, OR 97209Addiction (Substance Use Disorder) Counselor2016-09-21
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.