Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT RICHARD NELSON
ActiveAthletic Trainer · ALBANY, OR
Registration Details
- NPI Number
- 1700636701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2024 (2.0769275141908 yrs)
- Last Updated
- Mar 25, 2024
- License
-
078408 (OR)
Practice Information
- Address
-
1106 S COMMERCIAL WAY SEALBANY, OR, 973227034Browse OR providers · Browse ZIP 97322
- Phone
- 5035078710
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.