Search › Oregon › 363A00000X
Joan Nelson, PA-C
NPI 1295752905 · on the registry since 2006
Practice
- Address
- 2606 Ne Broadway St
Suite C
Portland, OR 97232 - Phone
- (503) 292-9560
- Fax
- (503) 292-9510
- Organisation at this address
- Portland Compounding Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-25
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