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Contact Information

JENNIFER P NELSON, PA
2111 NE 25TH AVE INTEL HEALTH FOR LIFE CENTER
MS:JF-167
HILLSBORO, OR97124
 Phone: 503-264-8315
 Fax: 503-264-0559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER P NELSON · (Female)

NPI Number 1518973015
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/01/2006
Last updated 01/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 00813
  • OR License # PA00813
  • OR Medicaid 500617236
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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