Elizabeth Ryan, MD
NPI 1053644179 · Addiction Medicine (Family Medicine) Physician · Portland, OR
Enrolled with Medicare as Practitioner - Addiction Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Ryan, MD is a Addiction Medicine (Family Medicine) Physician provider in Portland, OR (NPI 1053644179).
Provider details
- NPI number
- 1053644179
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 272489 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 106 Langtree Village DrMooresville, NC 28117-7593Phone: (888) 288-4715
- 20046 Walker Rd Ste 7Shaker Heights, OH 44122-3645Phone: (888) 288-4715
- 915 Broadway StVancouver, WA 98660-3278Phone: (888) 288-4715
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Frequently asked questions
- What is Elizabeth Ryan's NPI number?
- Elizabeth Ryan's National Provider Identifier (NPI) is 1053644179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Ryan's specialty?
- Elizabeth Ryan is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Elizabeth Ryan located?
- Elizabeth Ryan's practice location on file with NPPES is 111 Sw Naito Pkwy Ste 200, Portland, OR 97204-3512.
- What is Elizabeth Ryan's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Ryan is (888) 288-4710.
- Does Elizabeth Ryan accept Medicare?
- Elizabeth Ryan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Ryan's NPI active?
- Yes — Elizabeth Ryan's NPI (1053644179) is active in the NPPES registry as of the last update on 2024-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.