IndividualActive
Kristopher Nielsen, CO
NPI 1295040012 · Orthotist · Portland, OR
Provider details
- NPI number
- 1295040012
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1627 Ne Broadway
Portland, OR 97232-1425
Phone: (503) 287-0459
Fax: (503) 281-9252
Approximate (ZIP-level) locationGet directions
Mailing address
1627 Ne Broadway
Portland, OR 97232-1425
Registry dates
- Enumerated
- 2010-08-17
- Last updated
- 2010-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.