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

Ryan S Cordell, PA

Individual provider Physician Assistant · NPI 1104334176

Ryan S Cordell, PA is a Physician Assistant in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1455 NW Irving St Ste 600
Portland, OR 97209-2277
Phone: (503) 684-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11572 (TX)

Record details

NPI number1104334176
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2018
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address1314 Ne Emerson St, Portland, OR 97211-4311

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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