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1205339785
JERED NELSON
EUGENE, OR
NPI
1205339785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62640)
Enumeration Date
2018-03-12
Last Update Date
2018-04-12
Business Address
JERED NELSON PT
4242 COMMERCE ST STE A
EUGENE, OR 97402-5418
Phone number: 541-484-9632
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Mailing Address
JERED NELSON PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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