JACOB HENRY NELSON DO
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1568920882- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 3303 S BOND AVE, PORTLAND, OR, 972394501
- Phone
- (360) 831-3123
Specialties & Taxonomies
Internal Medicine
License: VA #0116035953
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: OR #DO212889