LOLA AMINOVA RYAN
NPI 1063884856
Social Worker - Clinical in Portland, OR

Active since October 20, 2015PECOS Enrolled
2738 NE BROADWAY ST, PORTLAND, OR 97232(503) 308-8392 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Mar 5, 2025, Sep 18, 2024 and 2 more (5 updates tracked since 2021).

About Lola Aminova Ryan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOLA AMINOVA RYAN (NPI 1063884856) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L10543) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilsonville.

NPPES Registry Identity

NPI1063884856
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLOLA AMINOVA RYAN
Location Address2738 NE BROADWAY STPortland, OR 97232-1723
Mailing Address11327 Sw ChurchillWilsonville, OR 97070-9572 · (971) 266-4291
Sole ProprietorYes
Enumeration DateOctober 20, 2015
Last NPPES UpdateMay 18, 20265 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1063884856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L10543
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2738 NE BROADWAY ST, Portland, OR 97232

Other Names 1

Former Name (1)Lola Aminova

Secondary Practice Location 1

Location 111327 SW ChurchillWilsonville, OR 97070-9572 · Phone (971) 266-4291

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lola Aminova Ryan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2738 NE BROADWAY ST
PORTLAND, OR 97232
General Practice
2738 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
2738 NE BROADWAY ST
PORTLAND, OR 97232
Counselor
2738 NE BROADWAY ST
PORTLAND, OR 97232
Social Worker (Clinical)
2738 NE BROADWAY ST
PORTLAND, OR 97232
Social Worker (Clinical)
2738 NE BROADWAY ST
PORTLAND, OR 97232
Student in an Organized Health Care Education/Training Program
2738 NE BROADWAY ST
PORTLAND, OR 97232
Counselor
2738 NE BROADWAY ST
PORTLAND, OR 97232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lola Ryan's NPI number?

The NPI number for Lola Ryan is 1063884856. It was assigned to this individual provider in the NPPES registry on October 20, 2015. The provider is also known as Lola Aminova.

Where is Lola Ryan located?

Lola Ryan practices at 2738 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 308-8392.

What is Lola Ryan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lola Ryan enrolled in Medicare?

Yes. Lola Ryan is registered in the Medicare PECOS enrollment system.

What insurance does Lola Ryan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Lola Ryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lola Ryan was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.