Individual
RILEY STALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15160 NW LAIDLAW RD STE 225, PORTLAND, OR 97229-7700
(971) 217-6351
Mailing address
15545 NW WESTBROOK WAY, PORTLAND, OR 97229-9270
(541) 805-8292
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
BAP-E-10268740
OR
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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