Individual
DREW P NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2285 NW JOHNSON ST, PORTLAND, OR 97210-3236
(661) 319-7220
Mailing address
2525 NW SAVIER ST, PORTLAND, OR 97210-2411
(661) 319-7220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16200
OR
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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