Individual
PROF. SEPTEMBER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 NW GLISAN ST, PORTLAND, OR 97209-3712
(971) 291-6274
Mailing address
310 NW GLISAN ST, PORTLAND, OR 97209-3712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200542782RN
OR
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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