Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Douglas McCormick, DMD

Individual provider Dentist · NPI 1073162699

Ryan Douglas McCormick, DMD is a Dentist in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3620 SE Powell Blvd Ste 200
Portland, OR 97202-1880
Phone: (503) 878-8702
Fax: (503) 878-8702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16338 Se Stark St, Portland, OR 97233-3958 — (503) 912-2600

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11127 (OR)

Record details

NPI number1073162699
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 6, 2019
Last updated in NPPESSeptember 6, 2019

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