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Individual

DR. JAMISON SCOTT NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060
Mailing address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6272
(253) 426-4060

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DOS-1130
HI
208600000X
Surgery Physician
Primary
OP60824491
WA
2086S0102X
Surgical Critical Care Physician
OP60824491
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2038242
WA
Enumeration date
10/23/2006
Last updated
05/02/2025
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