Individual
MARIA JOY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.C.R.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
6205 SW 25TH AVE, PORTLAND, OR 97239-1918
(503) 224-9729
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD154719
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2009
Last updated
10/09/2012
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