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Individual

DR. J. MAUER NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
12614 SW IRON MOUNTAIN BLVD, PORTLAND, OR 97219-8306
(503) 636-2420

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
OR MD15450
OR

Other

Enumeration date
08/25/2006
Last updated
07/08/2007
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