Individual
RYAN LEE CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 SW 5TH AVE, PORTLAND, OR 97204-1235
(503) 684-8252
(866) 859-8195
Mailing address
875 OAK ST SE STE 4030, SALEM, OR 97301-3984
(503) 561-6444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4477
AZ
363A00000X
Physician Assistant
Primary
PA158690
OR
363AM0700X
Medical Physician Assistant
PA158690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4477
MEDICAL LICENSE
AZ
01
—
PA158690
OREGON STATE LICENSE
OR
Enumeration date
09/22/2009
Last updated
12/17/2024
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