Ryan Thomas Willoughby, PT, DPT is a
Physical Therapist physician based in Portland, Oregon. Ryan Thomas Willoughby is licensed to practice in Oregon (license number 62814) and his current practice location is 15640 Nw Laidlaw Rd Ste 202, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 764-0170.
NPI number for Ryan Thomas Willoughby is 1558842054 and his current mailing address is 3661 Ne 10th St, Otis, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558842054.
Physician's Profile
Full Name | Ryan Thomas Willoughby |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 15640 Nw Laidlaw Rd Ste 202, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558842054
- Provider Enumeration Date: 08/23/2018
- Last Update Date: 02/16/2021
Medical Identifiers
Medical identifiers for Ryan Thomas Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558842054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 62814 (Oregon) | Secondary |
225100000X | Physical Therapist | 62814 (Oregon) | Primary |
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 Thomas Willoughby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ryan Thomas Willoughby, PT, DPT 3661 Ne 10th St, Otis, OR 97368-9601 Ph: (503) 764-0170 | Ryan Thomas Willoughby, PT, DPT 15640 Nw Laidlaw Rd Ste 202, Portland, OR 97229-3828 Ph: (541) 764-0170 |
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