Columbia Metabolic Clinic is an independent telehealth medical practice providing evidence-based outpatient medical care for adults throughout Oregon, Washington, and Utah. Services focus on metabolic health, cardiovascular risk reduction, cholesterol management, weight management, and preventive medicine, alongside evaluation and treatment of common non-emergency medical concerns. Our approach emphasizes individualized medical evaluation, evidence-based treatment plans, patient education, and long-term health improvement rather than one-size-fits-all protocols. We aim to help patients better understand their health, address existing medical concerns, identify potential risks, and make informed decisions about their care. Services include: General telehealth visits for a variety of non-emergency medical concerns Medication management and prescription renewals when clinically appropriate Laboratory interpretation and preventive health consultations 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 consultations Pre-travel consultations Influenza, COVID-19, and common respiratory illness evaluation and treatment Evaluation and management of selected acute and chronic medical conditions Patients may seek care for a specific medical concern or establish an ongoing relationship for follow-up and management of selected conditions. Columbia Metabolic Clinic accepts select health insurance plans and offers self-pay options for patients who prefer direct-pay care or whose services are not covered by their insurance. Insurance coverage and participation vary by plan and service. All visits are conducted through a secure, HIPAA-compliant telehealth platform. Patients must be physically located in a state where the clinician is licensed at the time of their appointment. Columbia Metabolic Clinic does not provide emergency services or chronic pain management.

Patient reviews

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

Overall rating

4.89

Wait time

4.77

Bedside manner

4.89

Your trust is our top concern, so providers can't pay to alter or remove reviews. We also don't publish reviews that contain any private patient health information. Learn more here

38 reviews

Most relevant

I appreciated that PA Hermansen listened to everything I had to say and discussed logical options in an unhurried manner.

October 16, 2026Don G.Verified patient

The appointment was informative and was handled to my satisfaction. Easy to talk to and is knowledgeable.

September 15, 2026LUJEAN T.Verified patient

He listened to me and I feel heard and respected. I would recommend him to anyone looking for a physician.

September 7, 2026joshua V.Verified patient

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

July 21, 2026Cari S.Verified patient

My appointment went great. He listened to me and the whole thing was

October 5, 2026joshua V.Verified patient

Ryan is great! He seems genuinely interested in what I have to say.

Initials hidden

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

Ryan was the first doctor I have had in my entire life that really has MY best interest at heart. He heard me discuss my issues with him and did NOT automatically try to put me on any prescriptions (new or old) to just put a bandaid on the problems I face, but instead really listened to what I had to say. Ryan wanted to aid in being proactive with my health (physically and mentally) in more natural ways, was honest when he was unsure about certain aspects of my mental health, thus leading him to help curate a team of professionals to work with me as well to ensure I am getting the proper care I have so desperately needed for so long. I would I highly recommend him, and he will most likely be my doctor until he decides to retire, or if he ever thought we were no longer compatible to achieve the healthcare goals I have for myself. 12/10 would recommend!

October 13, 2026Alannah W.Verified patient

Bad. He lowered my prescription and it took him over a week to just put my prescription into the system so I could pick it up. I waited hours multiple times for him just to not follow through again. Worst doctor I’ve ever dealt with in my life.

October 3, 2026Trevor V.Verified patient

Pro

Initials hidden

Listened, friendly. Helpful

September 25, 2026Wayne W.Verified patient

Ryan was amazing! He called before the appointment for clarification to make sure he would be able to help, which I thought was above and beyond!! The appointment was awesome! It felt very collaborative and like he was genuinely passionate about helping me - the patient! 11/10! Would definitely recommend!

SBVerified patient

Ryan was great! He really listened and we discussed issues to address at next appointment. He also checked up on me after appt which was a huge pleasant surprise ?? I would recommend him very highly! Thank you Ryan and look forward to our next appointment

CWVerified patient

Ryan was great! Very nice, great listener. Addressed all my concerns and we discussed future appointment to address other issues.

August 22, 2026Cindy W.Verified 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

November 12, 2026Lorri P.Verified patient

November 4, 2026Paula A.Verified patient

Initials hidden

October 19, 2026Jordan F.Verified patient

October 4, 2026Jackson S.Verified patient

Initials hidden

September 21, 2026Dominic L.Verified patient

September 3, 2026Pamela J.Verified patient

Initials hidden

August 18, 2026Aniya H.Verified patient

August 6, 2026Sierra B.Verified patient

Initials hidden