Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Douglas McCormick, DMD

Individual provider Dentist · NPI 1073162699

Ryan Douglas McCormick, DMD is a Dentist in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3620 SE Powell Blvd Ste 200
Portland, OR 97202-1880
Phone: (503) 878-8702
Fax: (503) 878-8702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16338 Se Stark St, Portland, OR 97233-3958 — (503) 912-2600

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11127 (OR)

Record details

NPI number1073162699
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 6, 2019
Last updated in NPPESSeptember 6, 2019
Mailing address3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880

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