Individual
BENJAMIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, OCS
Contact information
Practice address
4445 SW BARBUR BLVD STE 204, PORTLAND, OR 97239-4047
(503) 235-3386
Mailing address
12849 NW CORNELL RD, PORTLAND, OR 97229-5813
(503) 208-6278
(503) 208-6276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00009802
WA
2251X0800X
Orthopedic Physical Therapist
Primary
3833
OR
Other
Enumeration date
06/12/2006
Last updated
04/04/2017
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