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

Ryan Fairley

Individual provider Surgery Physician · NPI 1144606229

Ryan Fairley is a General Surgery in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1040 NW 22nd Ave Ste 520
Portland, OR 97210-3097
Phone: (503) 413-7557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DO197810 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144606229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2015
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing addressPo Box 3808, Portland, OR 97208-3808

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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