Individual
MR. GARY EDWIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(866) 279-4581
Mailing address
3667 SE DURANGO PL, GRESHAM, OR 97080-7357
(503) 341-2712
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7022
OR
Other
Enumeration date
08/20/2016
Last updated
04/28/2020
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