Individual
CHARLES L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
310 TORBETT ST, RICHLAND, WA 99354-2604
(509) 946-7646
(509) 946-7666
Mailing address
310 TORBETT ST, RICHLAND, WA 99354-2604
(509) 946-7646
(509) 946-7666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209316
LABOR & INDUSTRIES
WA
05
—
8319618
—
WA
Enumeration date
12/21/2006
Last updated
11/23/2007
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