Individual provider · Type 1 NPI

Brian Fielder Ridderbusch, RN

Registered Nurse · Portland, OR

NPI number 1174417281 Active

Practice location

14030 NE Sacramento St
Portland, OR 97230-3961

Fax (503) 262-4079

Mailing address

11611 NE Ainsworth Cir
Portland, OR 97220-9017

Other practice locations

  • 8678 NE Sumner St, Portland, OR 97220-4613 · (503) 262-4150

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X202202365RN (OR)
School Registered Nurse 163WS0200X202202365RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174417281

Brian Fielder Ridderbusch, RN's National Provider Identifier is 1174417281, issued on Jun 4, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2025.