Individual
DAVID WESLEY NELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19300 SW 65TH, LEGACY MERIDIAN PARK HOSPITAL, TUALATIN, OR 97062-8854
(503) 692-5737
(503) 692-5307
Mailing address
6464 SW BORLAND ROAD SUITE A4, TUALATIN, OR 97062-8854
(503) 692-5737
(503) 692-5307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD14308
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022272
—
OR
Enumeration date
11/15/2006
Last updated
07/08/2007
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