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

Individual provider Emergency Medicine Physician · NPI 1417391699

Stephen Ryan Donnelly, MD is an Emergency Medicine in Portland, Oregon. Graduated from Wright State University Boonshoft School of Medicine in 2013, 13 years ago. Practices with Dhhs Phs Naihs Chinle Comprehensive Health Care Facility, a 165-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OR
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone: (503) 494-7500
Fax: (503) 494-4997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD187228 (OR)

Record details

NPI number1417391699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2013
Last updated in NPPESAugust 6, 2018
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Dhhs Phs Naihs Chinle Comprehensive Health Care Facility — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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