Nelson, Desiree A

Nelson, Desiree A is an individual health care provider with primary practice located at 1162 Willamette St , Eugene OR 97401-3568. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Nelson, Desiree A can be contacted via phone (541) 687-6287.

Contact Information

Primary practice address
1162 Willamette St Eugene OR 97401-3568
Fax: (541) 687-6154
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X Oregon

Profile Details

NPI number 1609968148
LBN Legal business name Nelson, Desiree A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Oct 11th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609968148 NPPES
Oregon MEDICAID 000356

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