Individual
DR. JARED R. NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1755 PROSPECTOR AVE STE 100, PARK CITY, UT 84060-7488
(435) 649-6620
(435) 214-2236
Mailing address
841 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 476-3779
(541) 476-3789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-3386
OR
Other
Enumeration date
12/12/2006
Last updated
11/29/2018
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