Individual
EMILY ANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31069 NW KAYBERN ST, NORTH PLAINS, OR 97133-7177
(503) 809-1337
Mailing address
31069 NW KAYBERN ST, NORTH PLAINS, OR 97133-7177
(503) 809-1337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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