Individual
JAMES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 505-9190
Mailing address
315 COBURG RD STE C, EUGENE, OR 97401-6114
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000107914
OR
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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