Individual
DR. NIELS C S NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4020 E MADISON ST STE 240, SEATTLE, WA 98112-3150
(206) 456-2559
(888) 419-3592
Mailing address
4020 E MADISON ST STE 240, SEATTLE, WA 98112-3150
(206) 456-2559
(888) 419-3592
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60133289
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20089895
—
WA
Enumeration date
05/09/2007
Last updated
05/25/2022
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