Individual
DR. PETER JACOB NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5307
(206) 520-5620
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5307
(206) 520-5620
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD60086256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250246
LABOR & INDUSTRIES
WA
Enumeration date
09/15/2005
Last updated
09/23/2009
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