Individual
DIANA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14725 SE RHONE ST, PORTLAND, OR 97236-2556
(971) 314-0144
Mailing address
4019 SE 98TH AVE, PORTLAND, OR 97266-2528
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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