Search › Oregon › 101YA0400X
Justin Nielsen, CADCII
NPI 1124324330 · on the registry since 2011
Practice
- Address
- 3793 River Rd N
Keizer, OR 97303 - Phone
- (503) 304-4358
- Fax
- (503) 304-4361
- Organisation at this address
- Renaissance Recovery Resources, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 695 Se 1st Ave, Canby, OR
- 465 Commercial St Ne Ste 150, Salem, OR
- 5775 Jean Rd Ste 104, Lake Oswego, OR
- 147 Sw Court St, Dallas, OR
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon