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

Mr. Bruce Roderick Nielson

Individual provider Surgical Technologist · NPI 1043600836

Mr. Bruce Roderick Nielson is a Surgical Technologist in Ridgefield, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
Specialties on file
4

Practice location Address checks out

415 NE 194th St Unit 1
Ridgefield, WA 98642-9496
Phone: (360) 936-1096
Fax: (425) 216-9433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence ST00001996 (WA)
Radiologic Technologist Taxonomy 247100000X · Licence XT00004606 (WA)
Other Technician Taxonomy 247200000X · Licence MA00153098 (WA)
Nurse's Aide Taxonomy 376K00000X · Licence NA00153098 (WA)

Record details

NPI number1043600836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015