Individual
DUNCAN REESE NEILSON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N GRAHAM ST, STE 100 MEDICAL PLAZA BLDG LEGACY EMANUEL HOSPITAL, PORTLAND, OR 97227-1683
(503) 413-3622
(503) 413-4238
Mailing address
300 N GRAHAM ST, STE 100 MEDICAL PLAZA BLDG LEGACY EMANUEL HOSPITAL, PORTLAND, OR 97227
(503) 413-3622
(503) 413-4238
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00045703
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD08860
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136762
—
OR
Enumeration date
04/10/2006
Last updated
07/08/2007
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