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Contact Information

RYAN L CUMMINGS, FNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-494-7593
 Fax: 503-494-4324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for RYAN L CUMMINGS · (Male)

NPI Number 1114495017
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/08/2018
Last updated 02/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 201041424RN
  • OR License # 201810332NP-PP
Hospital affiliation(s)
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
  • SALEM HOSPITAL - (Acute Care)
    890 OAK STREET, SE
    SALEM, OR 97301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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