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Individual

JOHN RAYMOND NELSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1035 116TH AVE NE, HOSPITALIST DEPT., BELLEVUE, WA 98004-4604
(425) 688-5072
(425) 467-3310
Mailing address
PO BOX 3905, DEPT. 4204, SEATTLE, WA 98124-3905
(360) 514-9060
(360) 514-9041

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00038560
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0141614
L & I WORKERS COMP.
WA
01
110206087
RAILROAD MEDICARE
WA
01
2807NE
REGENCE BLUESHIELD RIDER
WA
05
8255465
WA
Enumeration date
04/05/2006
Last updated
07/09/2007
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