GEORGE RICHARD NELSON

PORTLAND, OR
NPI1205829421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  1189T)
Enumeration Date2005-08-23
Last Update Date2007-07-08
Business Address
Dr. GEORGE RICHARD NELSON OD
611 SW BROADWAY
PORTLAND, OR 97205-3402
Phone number: 503-227-5949
Mailing Address
Dr. GEORGE RICHARD NELSON OD
611 SW BROADWAY
PORTLAND, OR 97205-3402
Phone number: 503-227-5949