Individual
DR. JAMES PATRICK NEALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 WELCH ST, SILVERTON, OR 97381-1934
(503) 874-0574
(503) 874-0575
Mailing address
450 WELCH ST, SILVERTON, OR 97381-1934
(503) 874-0574
(503) 874-0575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD23140
OR
208600000X
Surgery Physician
26304
NE
208600000X
Surgery Physician
Primary
MD23140
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26304
NEBRASKA LICENSE
NE
05
—
287212
—
OR
Enumeration date
09/28/2005
Last updated
07/13/2021
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