Individual
DR. CASEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7417 SW BEAVERTON HILLSDALE HWY STE 700, PORTLAND, OR 97225-2170
(503) 719-7518
Mailing address
7417 SW BEAVERTON HILLSDALE HWY STE 700, PORTLAND, OR 97225-2170
(503) 719-7518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5769
NV
122300000X
Dentist
Primary
D9485
OR
Other
Enumeration date
11/08/2007
Last updated
03/25/2013
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