Individual
BRIAN FIELDER RIDDERBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14030 NE SACRAMENTO ST, PORTLAND, OR 97230-3961
(503) 262-4000
(503) 262-4079
Mailing address
11611 NE AINSWORTH CIR, PORTLAND, OR 97220-9017
(503) 255-1841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202202365RN
OR
163WS0200X
School Registered Nurse
202202365RN
OR
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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