Individual
DR. JUSTIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5935 SE ALEXANDER ST, HILLSBORO, OR 97123-8575
(503) 848-2385
Mailing address
20584 SW ROSA DR, BEAVERTON, OR 97007-1032
(503) 848-9573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8637
OR
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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