Individual
SABRINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7400
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12727989-1206
UT
363A00000X
Physician Assistant
PA180723
OR
363AM0700X
Medical Physician Assistant
PA180723
OR
Other
Enumeration date
07/29/2015
Last updated
04/26/2023
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