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Contact Information

BRENT R NELSON
1106 S COMMERCIAL WAY SE
ALBANY, OR97322-7034
 Phone: 503-507-8710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for BRENT R NELSON · (Male)

NPI Number 1700636701
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2024
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 078408
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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