Risen Medical, LLC

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

RISEN MEDICAL, LLC

Practice address

8101 SW Nyberg St Ste 211
Tualatin, OR 97062-9464

Phone

(503) 218-9559

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Trevor Gomez

Title

Owner

Phone

(503) 218-9559

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Risen Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bend, OR
  • NPI 1154120699

  8527581065

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Risen Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Risen Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bend, OR
  • NPI 1154120699
  NPD tax ID

Locations

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1225873516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 SW BADGER CREEK DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SW NYBERG ST STE 211",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629464",
            "telephone_number": "503-218-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISEN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-218-9559"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endre Ecker Richards, LD
• Sarah Jean Richardson, DPT
• Beatriz Tafolla Ridgley, QMHP
• Patricia L Ridgley, D.M.D
• Sarah Rim, PA-C
• Joshua Rivkin
• Robert D Cook MD PC
• Robert L Tatsumi MD PC
• Nicole Roberts, PHARMD
• Warren G Roberts, M.D.

• Orthotist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Orthotist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.