Individual
KEETS J. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
10535 NE GLISAN ST SUITE 301, DENTAL CARE TODAY, PORTLAND, OR 97220
(503) 444-2824
Mailing address
3915 NE RODNEY AVE, PORTLAND, OR 97212
(208) 720-7547
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6761
OR
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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