Individual
JOHN D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 NE HIGHWAY 99W STE A, MCMINNVILLE, OR 97128-2733
(503) 472-4649
(503) 434-1679
Mailing address
821 NE HIGHWAY 99W STE A, MCMINNVILLE, OR 97128-2733
(503) 472-4649
(503) 434-1679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15082
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150722
—
OR
Enumeration date
08/24/2005
Last updated
06/05/2014
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