Individual
TRACY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201501528RN
OR
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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