Individual
VIRGINIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14255 SW BRIGADOON CT STE 80, BEAVERTON, OR 97005-3368
(503) 641-1475
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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