MEDICARE: RYAN S GRIFFITHS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	MD28045	OR
2	207RN0300X	Nephrology Physician	MD60219076	WA

General Provider Information

NPI Number	:	1851516447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN S GRIFFITHS MD

Provider Business Mailing Address
First Line	:	PO BOX 3068
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3068
Country	:	US
Telephone Number	:	503-229-7976
Fax Number	:	503-274-4867

Provider Business Practice Location Address
First Line	:	232 NE NORTON LANE
Second Line	:
City	:	MCMINNVILLE
State	:	OR
Zip	:	97128-8470
Country	:	US
Telephone Number	:	503-434-1159
Fax Number	:	503-434-1190

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	09/25/2025

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