Columbia Metabolic Clinic is a telehealth medical practice providing evidence-based care for adults throughout Oregon and Washington. We specialize in metabolic health, cardiovascular risk reduction, cholesterol management, weight management, and preventive medicine. Our approach emphasizes comprehensive medical evaluation, individualized treatment plans, and long-term disease prevention rather than one-size-fits-all protocols. Care is guided by current clinical evidence with a focus on improving long-term health outcomes. Services include: Medical weight management Cholesterol and lipid management (including ApoB and Lipoprotein(a) evaluation) Cardiovascular risk assessment and prevention GLP-1 medication management when clinically appropriate Men's health Medication management Laboratory interpretation and preventive health consultations General telehealth visits for a variety of non-emergency medical concerns Pre-travel consultations Influenza and COVID-19 evaluation and treatment All visits are conducted through a secure, HIPAA-compliant telehealth platform. This clinic does not care for patients requiring pain management.

Patient reviews

All reviews have been submitted by patients after interacting with the practice.

Overall rating

5.00

Wait time

4.77

Bedside manner

5.00

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13 reviews

Most relevant

He was very helpful as well as knowledgeable. He fulfilled my request promptly

July 21, 2026Cari S.Verified patient

Very good and professional experience. I would recommend.

July 16, 2026James L.Verified patient

Short and sweet but helpful, ever for the most smallest things!

April 29, 2026Alejandro G.Verified patient

Awesome experience. Was early for the appointment.

SRVerified patient

Went great, will be seeing Dr. Ryan again!

May 23, 2026Kellie A.Verified patient

I had a very positive experience with Ryan. He was kind, thorough, and took the time to explain everything clearly. We discussed my weight concerns, labs, and next steps in a way that felt manageable and realistic. The visit was easy to schedule, everything went smoothly. I would definitely recommend him to others.

FKVerified patient

This was my first telehealth visit for this type of issue and it went really well. Ryan was easy to talk to, thorough, and didn’t just jump straight to a prescription—he explained the reasoning behind everything. Felt very practical and helpful.

RHVerified patient

Super easy visit. Ryan was knowledgeable and straightforward, and I felt like I had a clear plan by the end. Would book again.

HSVerified patient

I had a really great experience! The provider kind, knowledgeable, and made me feel heard while helping me come up with a realistic plan for my weight loss and metabolic health issues.

MSVerified patient

Ryan Hermansen was a breath of fresh air. I didn't feel rushed, he attended to my concerns, and actually went above and beyond for me, more than I've had with any other provider. I'm grateful for his kind and compassionate care and this review is the least I can do to share this outlook.

ADVerified patient

Ryan is very personable yet direct and does a good job pin pointing the exact problem. He really listens and is very helpful! Such a competent provider and I appreciated his time and efforts to help me!

ASVerified patient

Great experience overall. Ryan was knowledgeable and very structured in his evaluation. The appointment felt thoughtful and medically grounded, not rushed. Clear plan, good communication, and easy scheduling. I would definitely book again.

KPVerified patient

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