Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan James Poulo, MD

Individual provider Emergency Medicine Physician · NPI 1912527557

Dr. Ryan James Poulo, MD is an Emergency Medicine in Portland, Oregon. Graduated from Tufts University School of Medicine in 2020, 6 years ago. Practices with Providence Health and Services - Oregon, a 191-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Trained at
Tufts University School of Medicine
Licensed in
OR
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 215-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD215148 (OR)

Record details

NPI number1912527557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2020
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services - Oregon — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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