Individual
DR. GARY RANDALL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 346-4708
Mailing address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 346-4708
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
27908
CA
1223P0221X
Pediatric Dentistry
Primary
D9864
OR
Other
Enumeration date
11/07/2005
Last updated
07/22/2014
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