# DR. RYAN E JOHANSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760672612
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD27209 | OR | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 06/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 274438 | — | OR |
| 05 | — | 8487746 | — | WA |
| 01 | — | P00784755 | RR MEDICARE | OR |