Nelson, Jay Michael

Nelson, Jay Michael is an sole proprietor health care provider with primary practice located at 134 Se 5Th Ave Ste C , Hillsboro OR 97123-4095. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Nelson, Jay Michael can be contacted via phone (503) 543-6100.

Contact Information

Primary practice address
134 Se 5Th Ave Ste C Hillsboro OR 97123-4095
Phone: (503) 543-6100
Fax: (503) 214-8911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 8086 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 08-12-37 Oregon

Profile Details

NPI number 1720232499
LBN Legal business name Nelson, Jay Michael
Credentials LMT, CADCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2008
Last updated Mar 9th, 2023 - about 2 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 1720232499 NPPES
Oregon MEDICAID 278095
Oregon Other 1042985

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