Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON TYLER RIEDEL, ATC
Active Sole ProprietorBRANDON TYLER RIEDEL, ATC is a Athletic Trainer healthcare provider located in PORTLAND, Oregon. NPI 1730785296 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PORTLAND, OR
Registration Details
- NPI Number
- 1730785296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2020 (5.7082604681932 yrs)
- Last Updated
- Dec 9, 2020
- License
-
2000032988 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2219 SE 68TH AVEPORTLAND, OR, 972154026Browse OR providers · Browse ZIP 97215
- Phone
- 5035171063
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER P DENNETT | A.T.C., M.S. | 1497743173 |
| MS. VICTORIA GRACE MOSSE | MA, ATC,PTA | 1104807585 |
| MR. GEOFFREY WAYNE CLARK | ATC | 1790751600 |
| MR. JONATHAN GLENN HUWE | MS, ATCR | 1750344826 |
| JENNIFER ERIN ADAMS | ATC | 1033167838 |
| TREVOR D HOLMAN | ATC | 1477596963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.