About me

I’m a board-certified Physician Assistant with a clinical background rooted in cardiovascular medicine, urgent care, and systems-based practice. I completed my undergraduate education in Utah before earning my PA degree at Oregon Health & Science University (OHSU). I now practice in the Pacific Northwest, where I’ve spent my career helping patients navigate complex medical decisions with clarity and confidence.

My approach to care is straightforward: patients deserve to understand the “why” behind their treatment. Whether discussing cardiovascular risk, metabolic health, or long-term prevention strategies, I focus on translating evidence-based medicine into practical, sustainable steps. My experience in cardiology, urgent care, workers’ compensation medicine, and independent medical evaluations has shaped a pragmatic, big-picture view of health — one that balances individual goals with real-world demands.

Through Columbia Metabolic Clinic, I focus on evidence-based weight management and metabolic health for adults in Oregon and Washington. My goal is not short-term fixes, but long-term risk reduction and durable health outcomes. I value clear communication, accountability, and thoughtful care — and I aim to build a practice where patients feel informed, supported, and empowered in their health decisions.

Ryan Hermansen PA-C, Columbia Metabolic Clinic Founder
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