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

Individual provider Physician Assistant · NPI 1629884325

Shanti Ryan, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2025, 1 year ago. Practices with Express Care OR PC, a 60-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024
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

3822 SE Powell Blvd
Portland, OR 97202-1720
Phone: (888) 227-3312
Fax: (503) 717-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3915 E Camelback Rd, Phoenix, AZ 85018-2633 — (928) 533-8513

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1629884325
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Express Care Or Pc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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