BLAKE A NELSON

BEAVERTON, OR
NPI1437880010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA217352)
Enumeration Date2022-06-23
Last Update Date2023-08-14
Business Address
BLAKE A NELSON PA-C
2935 SW CEDAR HILLS BLVD STE 100
BEAVERTON, OR 97005-1342
Phone number: 503-300-4111
Mailing Address
BLAKE A NELSON PA-C
6924 NE SANDY BLVD
PORTLAND, OR 97213-5256
Phone number: 503-300-4111
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