Individual
RONALD D NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00026852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202679
STATE L&I
WA
05
—
8115180
—
WA
01
—
8940121
CRIME VICTIMS
WA
Enumeration date
12/27/2006
Last updated
05/03/2026
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