Ryan Randle, MD in Portland, OR

Ryan Randle, MD is a medicare enrolled "Surgery" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8211.

Ryan Randle is licensed to practice in California (license number A174532) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164929501.

Contact Information

	Ryan Randle, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098
	(503) 494-8211
	Not Available

Map and Direction

Physician's Profile

Full Name	Ryan Randle
Gender	Male
Speciality	Surgery
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164929501
Provider Enumeration Date: 04/11/2018
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0345591350
Enrollment ID: I20181001001213

Medical Identifiers

Medical identifiers for Ryan Randle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164929501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A174532 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Randle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ryan Randle, MD 620 Veterans Blvd, Unit 504, Redwood City, CA 94063-1461 Ph: (562) 755-4616	Ryan Randle, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8211

Reviews and Comments

Surgery Doctors in Portland, OR

Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372

Ryan Randle, MD - Medicare Surgery in Portland, OR