MR. JERRY DAVID RYAN LPC.CRC.NCC,MS
NPI 1245667385
Counselor - Professional in Oregon City, OR

Q: What is Jerry Ryan's NPI number?

The NPI number for Jerry Ryan is 1245667385. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Q: What is Jerry Ryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Ryan was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since October 03, 2013

19142 MOLALLA AVE., SUITE A,, OREGON CITY, OR 97045(503) 348-6177(593) 632-5497 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jerry David Ryan Lpc.crc.ncc,ms NPPES

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

MR. JERRY DAVID RYAN LPC.CRC.NCC,MS (NPI 1245667385) is an individual professional provider in Oregon City, Oregon, licensed in Oregon (R2757) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1245667385

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JERRY DAVID RYANCredential: LPC.CRC.NCC,MS

Location Address19142 MOLALLA AVE., SUITE A,Oregon City, OR 97045-7166

Mailing AddressPo Box 548, 19142 Molalla Ave, Suite AOregon City, OR 97045-7166 · (503) 348-6177 · Fax (503) 632-5497

Phone(503) 348-6177

Fax(593) 632-5497

Sole ProprietorYes

Enumeration DateOctober 3, 2013

Last NPPES UpdateNovember 10, 2016

✔ NPI 1245667385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · R2757

19142 MOLALLA AVE., SUITE A,, Oregon City, OR 97045

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Other Identifiers 1

Medicaid5006884107OR

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 Jerry Ryan's NPI number?

The NPI number for Jerry Ryan is 1245667385. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Where is Jerry Ryan located?

Jerry Ryan practices at 19142 Molalla Ave., Suite A,, Oregon City, OR 97045. The listed phone number is (503) 348-6177.

What is Jerry Ryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jerry Ryan was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.