Individual
BRIAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
6902 SE LAKE RD STE 300, MILWAUKIE, OR 97267-2148
(971) 255-0658
(541) 344-0772
Mailing address
6902 SE LAKE RD STE 300, MILWAUKIE, OR 97267-2148
(971) 255-0658
(541) 344-0772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-03-26
OR
Other
Enumeration date
05/20/2016
Last updated
08/14/2019
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