Individual
BELLA A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9000
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD152363
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD152363
OR
208M00000X
Hospitalist Physician
MD152363
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625186
—
OR
01
—
P00893293
RR MEDICARE - PH&S - OREGON (PMG)
OR
Enumeration date
08/06/2007
Last updated
03/22/2021
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