Individual
ROBERT O NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
910 SW HIGHWAY 97, MADRAS PHYSICAL THERAPY GROUP, INC, SUITE 200, MADRAS, OR 97741-9247
(541) 475-2571
(541) 475-2590
Mailing address
910 SW HIGHWAY 97, MADRAS PHYSICAL THERAPY GROUP, INC, SUITE 200, MADRAS, OR 97741-9247
(541) 475-2571
(541) 475-2590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3644
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059333000
BLUE CROSS
—
05
—
234859
—
OR
Enumeration date
02/22/2007
Last updated
01/22/2016
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