NPI 1003114695

Crystal Dawn Nellermoe

Practitioner Contractor Oregon City, OR

Practice location

Address: 357 Warner Milne Rd, Oregon City, OR 97045-4045
Phone: (503) 655-6780

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 13223 (OR)

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Registry record

NPI: 1003114695
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2011
Record last updated: 4 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.