Brian Fielder Ridderbusch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

202202365RN Issued in OR

Practice address

14030 NE Sacramento St
Portland, OR 97230-3961

Phone

(503) 262-4000

Fax

(503) 262-4079

NPI assigned

Jun 4, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1174417281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 NE AINSWORTH CIR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209017",
            "telephone_number": "503-255-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 NE SACRAMENTO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303961",
            "telephone_number": "503-262-4000",
            "fax_number": "503-262-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8678 NE Sumner St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972204613",
            "country_code": "US",
            "telephone_number": "503-262-4150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDERBUSCH",
        "first_name": "BRIAN",
        "middle_name": "FIELDER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202202365RN",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OR",
            "license": "202202365RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Ricks
• Nicole Ricksgers
• La Tisha Rico
• Yadira Ricoy, QMHA
• Margaret Ridabock
• Carl Anthony Riddick, M.D.
• Alicia M Riddle
• Andrew Lawrence Riddle, DMD
• Artur Riddle, MD, PHD
• Betty Riddle

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.