DR. ELIZABETH BOGEL RYAN MD NPI 1053644179

NPI Information

  • NPI: 1053644179
  • Provider Name: DR. ELIZABETH BOGEL RYAN, MD
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 SW NAITO PKWY STE 200
    PORTLAND, OR
    ZIP 97204
  • Phone: (888) 288-4710

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NPI Details

DR. Elizabeth Bogel Ryan, MD is an addiction medicine family medicine in Portland, OR. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Elizabeth Bogel Ryan, MD NPI is 1053644179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 SW NAITO PKWY STE 200
PORTLAND, OR
ZIP 97204-512
Phone: (888) 288-4710
Fax: (833) 260-2594

The NPI 1053644179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 9/8/2009 and was last updated on 11/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine272489NEW YORKNo
2207QA0401XFamily MedicineAddiction Medicine2024-02178NORTH CAROLINANo
3207QA0401XFamily MedicineAddiction MedicineMD218904OREGONNo
4207QA0401XFamily MedicineAddiction MedicineMD.MD.60239397WASHINGTONNo
5207QA0401XFamily MedicineAddiction MedicineDR.0070137COLORADONo
6207QA0401XFamily MedicineAddiction Medicine35.145681OHIONo
7207QA0401XFamily MedicineAddiction Medicine272489NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103802068MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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