IndividualActive
Bruce Nielson
NPI 1043600836 · Surgical Technologist · Ridgefield, WA
Provider details
- NPI number
- 1043600836
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- ST00001996 (WA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Nursing Service Related Providers
Practice location
415 Ne 194th St
Unit 1
Ridgefield, WA 98642-9496
Phone: (360) 936-1096
Fax: (425) 216-9433
Approximate (ZIP-level) locationGet directions
Mailing address
800 Ne Tenney Rd
Vancouver, WA 98685-2831
Registry dates
- Enumerated
- 2015-01-30
- Last updated
- 2015-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.