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BRYLIE MANNEN RDN
NPI 1104712835
Dietitian, Registered in Portland, OR

Active since June 17, 2025
3530 SE 88TH AVE, PORTLAND, OR 97266(503) 772-4335 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brylie Mannen Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYLIE MANNEN RDN (NPI 1104712835) is an individual dietitian, registered in Portland, Oregon and active in the NPI registry since June 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1104712835
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBRYLIE MANNENCredential: RDN
Location Address3530 SE 88TH AVEPortland, OR 97266-2396
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395
Phone(503) 772-4335
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 17, 2025
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1104712835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3530 SE 88TH AVE, Portland, OR 97266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brylie Mannen Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608366950
PECOS Enrollment IDI20251105004414

Medicare Billing Reassignment

Medicare enrollment records show Brylie Mannen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yakima Valley Farm Workers Clinic
Same address
Federally Qualified Health Center (FQHC)
3530 SE 88TH AVE
Portland, OR 97266
  • Reassigned Medicare billing, Oregon enrollment
  • 81 clinicians in this Medicare group
NPI 1679526107 (503) 772-4335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY ANN WU
Pharmacist
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
EILEEN ALICE DERR
Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (509) 225-3396
DR. DALENA MAI THI HUONG HA HA DMD, MS, MPH
Dentist
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
CELIA LANCASTER CNP
Nurse Practitioner
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
ASHLEY AMEY
Physician Assistant
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
KATIE O'HANLON DNP, CNM
Nurse Practitioner (Psychiatric/Mental Health)
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
LEANN BROWN RDN, LD
Dietitian, Registered
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335
GABRIELLA CRYSTAL HERNANDEZ CHW
Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266
Multnomah County (503) 772-4335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brylie Mannen's NPI number?

The NPI number for Brylie Mannen is 1104712835. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Brylie Mannen located?

Brylie Mannen practices at 3530 SE 88th Ave, Portland, OR 97266. The listed phone number is (503) 772-4335.

What is Brylie Mannen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Brylie Mannen enrolled in Medicare?

Yes. Brylie Mannen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brylie Mannen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brylie Mannen reassigns Medicare benefits to Yakima Valley Farm Workers Clinic (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brylie Mannen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brylie Mannen accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Brylie Mannen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brylie Mannen was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.