Individual
PEGGY L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3957 N HAMPTON CT, WEST LINN, OR 97068-3781
(503) 975-5589
Mailing address
4137 NE 132ND AVE, PORTLAND, OR 97230-1428
(541) 951-9950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9243
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9243
OR
Other
Enumeration date
07/18/2005
Last updated
12/29/2015
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