Whalio Doctors

NPI 1043600836

Bruce Roderick Nielson

Practitioner Surgical Technologist Ridgefield, WA

Practice location

Address
415 NE 194th St Unit 1, Ridgefield, WA 98642-9496
Phone
(360) 936-1096
Fax
(425) 216-9433
Mailing address
800 NE Tenney Rd Unit 110-401, Vancouver, WA 98685-2831

Registered specialties (4)

Surgical Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence ST00001996 (WA)
Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence XT00004606 (WA)
Other Technician
Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence MA00153098 (WA)
Nurse's Aide
Nursing Service Related Providers Taxonomy 376K00000X Licence NA00153098 (WA)

Registry record

NPI
1043600836
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jan 2015
Record last updated
30 Jan 2015

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.