| Nelson And Willis Llc | |
|
631 Jason St Ne Ste 150 Salem OR 97301-2318 | |
| (503) 364-3004 | |
| (503) 364-1623 |
| Full Name | Nelson And Willis Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 631 Jason St Ne Ste 150, Salem, Oregon |
| Authorized Official Name and Position | Brock Nelson (OWNER) |
| Authorized Official Contact | 5033643004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson And Willis Llc 631 Jason St Ne Ste 150 Salem OR 97301-2318 Ph: (503) 364-3004 | Nelson And Willis Llc 631 Jason St Ne Ste 150 Salem OR 97301-2318 Ph: (503) 364-3004 |
| NPI Number | 1225782261 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225782261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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