Organization
COLUMBIA METABOLIC CINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN HERMANSEN PA-C (OWNER)
(801) 755-9680
Entity
Organization
Contact information
Practice address
1336 NW FLANDERS ST, PORTLAND, OR 97209-2645
(971) 238-9767
Mailing address
1336 NW FLANDERS ST, PORTLAND, OR 97209-2645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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