Individual
JACQUELYN MARIE NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4859 MEADOWS RD STE 161, LAKE OSWEGO, OR 97035-2628
(503) 387-6081
(503) 908-1518
Mailing address
3850 S BOND AVE APT 225, PORTLAND, OR 97239-4836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65115
OR
Other
Enumeration date
02/19/2024
Last updated
09/25/2024
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