Individual
JEFFREY R NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1769 SW PARKWAY DR, REDMOND, OR 97756-2550
(541) 350-8474
Mailing address
1769 SW PARKWAY DR, REDMOND, OR 97756-2550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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