Individual
MR. GREGORY BAYARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.O
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-4401
(206) 277-1243
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-4401
(206) 277-1243
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI00000271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O 1509
AMERICAN BOARD OF CERTIFICATION P&O
—
Enumeration date
12/04/2008
Last updated
12/04/2008
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