Individual
DR. DANIEL REID NELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
6600 NE 112TH CT STE 103, VANCOUVER, WA 98662-5494
(360) 694-7377
(866) 296-0293
Mailing address
910 NW 22ND AVENUE, CAMAS, WA 98607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00061171
WA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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