Individual
ELLEREY CLAIRE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216-2474
(503) 257-0959
Mailing address
1930 NW IRVING ST APT 301, PORTLAND, OR 97209-1266
(503) 913-3727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202106760NP-PP
OR
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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