Individual
DANIEL BRENT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5504
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292337
MA
207R00000X
Internal Medicine Physician
Primary
MD219329
OR
Other
Enumeration date
03/18/2019
Last updated
07/24/2024
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