Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Tyler Riedel, ATC

Individual provider Athletic Trainer · NPI 1730785296

Brandon Tyler Riedel, ATC is an Athletic Trainer in Portland, Oregon. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2219 SE 68th Ave
Portland, OR 97215-4026
Phone: (503) 517-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000032988 (IL)

Record details

NPI number1730785296
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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