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: August 09, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266
Dentist
3530 SE 88TH AVE
PORTLAND, OR 97266
Nurse Practitioner
3530 SE 88TH AVE
PORTLAND, OR 97266
Physician Assistant
3530 SE 88TH AVE
PORTLAND, OR 97266
Nurse Practitioner (Psychiatric/Mental Health)
3530 SE 88TH AVE
PORTLAND, OR 97266
Dietitian, Registered
3530 SE 88TH AVE
PORTLAND, OR 97266
Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266
Community Health Worker
3530 SE 88TH AVE
PORTLAND, OR 97266

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.

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 10 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.