Shanti Ryan, PA-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Portland, Oregon. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Express Care Or Pc and her current practice location is
3822 Se Powell Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(888) 227-3312.
Shanti Ryan is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629884325.
Provider's Profile
| Full Name | Shanti Ryan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 3822 Se Powell Blvd, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shanti Ryan graduated from nursing school in 2025
NPI Data:
- NPI Number: 1629884325
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 11/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618468596
- Enrollment ID: I20251118005074
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Express Care Or Pc | 1254768732 | 56 |
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
enrolled with medicare and thus, if eligible, can 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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