Individual
ASHLEY NICOLE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9155 SW BARNES RD STE 735, PORTLAND, OR 97225-6634
(503) 297-1351
(503) 297-2851
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO197216
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160204
—
WA
05
—
500749354
—
OR
Enumeration date
03/18/2015
Last updated
04/21/2026
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