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Contact Information

BRUCE R NIELSON
415 NE 194TH ST
UNIT 1
RIDGEFIELD, WA98642-9496
 Phone: 360-936-1096
 Fax: 425-216-9433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Nurse's Aide

376K00000X
 

Radiologic Technologist

247100000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for BRUCE R NIELSON · (Male)

NPI # 1043600836
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2015
Last updated 01/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00153098
  • WA License # NA00153098
  • WA License # ST00001996
  • WA License # XT00004606
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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