Nelson, George Richard
Nelson, George Richard is an individual health care provider with primary practice located at 611 Sw Broadway , Portland OR 97205-3402. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nelson, George Richard can be contacted via phone (503) 227-5949.Contact Information
Primary practice address
611 Sw Broadway
Portland OR 97205-3402
Phone: (503) 227-5949
Fax: (503) 227-3621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1189T | Oregon |
Profile Details
| NPI number | 1205829421 |
|---|---|
| LBN Legal business name | Nelson, George Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 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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