Organization
LIVE WELL HEALTH, PC
Active
Other names
Nelson Chiropractic & Functional Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE FAY NELSON NTP (MANAGER)
(503) 855-4465
Entity
Organization
Contact information
Practice address
7100 SW HAMPTON ST STE 121A, TIGARD, OR 97223-8390
(503) 855-4465
(888) 201-5353
Mailing address
PO BOX 2415, WILSONVILLE, OR 97070-2415
(503) 855-4465
(888) 201-5353
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1695
OR
Other
Enumeration date
04/01/2009
Last updated
09/04/2014
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