Individual
SHARMEEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
2327 SW 4TH AVE, ONTARIO, OR 97914-1851
(208) 642-9376
(208) 642-9598
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD126153
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD126153
OREGON LICENSE NUMBER
OR
Enumeration date
08/31/2007
Last updated
03/07/2023
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