Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Guthrie, PA-C

Individual provider Medical Physician Assistant · NPI 1669109005

Mr. Ryan Guthrie, PA-C is a Physician Assistant in Norfolk, Virginia. Qualified in 2022, 4 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802
Phone: (757) 953-8721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 N Graham St, Portland, OR 97227-1682 — (503) 413-4488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA224999 (OR)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1669109005
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Norfolk