Individual
JOANNE CLAIRE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST, STE 555, PORTLAND, OR 97227-1654
(503) 288-7535
(503) 288-7538
Mailing address
501 N GRAHAM ST, STE 555, PORTLAND, OR 97227-1654
(503) 288-7535
(503) 288-7538
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD09036
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237636
—
OR
Enumeration date
10/02/2006
Last updated
07/08/2007
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