Shanti Ryan, PA-C is a
Student In An Organized Health Care Education/training Program based in Portland, Oregon. Shanti Ryan is licensed to practice in * (Not Available) (license number ) and her current practice location is
3822 Se Powell Blvd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(888) 227-3312.
NPI number for Shanti Ryan is 1629884325 and her current mailing address is 3915 E Camelback Rd, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629884325.
Provider's Profile
| Full Name | Shanti Ryan |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3822 Se Powell Blvd, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629884325
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 11/04/2025
Medical Identifiers
Medical identifiers for Shanti Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629884325 | NPI | - | NPPES |
| 1234509 | Other | WA | CERTIFICATION |
| PA70046563 | Other | WA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanti Ryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shanti Ryan, PA-C
3915 E Camelback Rd,
Phoenix, AZ 85018-2633
Ph: (928) 533-8513 | Shanti Ryan, PA-C
3822 Se Powell Blvd,
Portland, OR 97202-1720
Ph: (888) 227-3312 |
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