Individual
JESSE LYNN NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
2411 MLK JR BLVD, EUGENE, OR 97401-5824
(541) 682-3608
Mailing address
2411 MLK JR BLVD, EUGENE, OR 97401-5824
(541) 682-2608
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-1582
OR
Other
Enumeration date
03/17/2023
Last updated
08/22/2024
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