Individual
AKIRA THOMAS NEILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 SW RIVER DRIVE, UNIT 102, PORTLAND, OR 97201
(971) 239-8080
Mailing address
1930 SW RIVER DR UNIT 102, PORTLAND, OR 97201-8054
(971) 239-8080
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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