IndividualActive
Blake Nelson, PA-C
NPI 1437880010 · Physician Assistant · Happy Valley, OR
Provider details
- NPI number
- 1437880010
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA217352 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9300 Se 91st Ave Ste 200
Happy Valley, OR 97086-3762
Phone: (503) 261-1171
Fax: (503) 253-5989
Approximate (ZIP-level) locationGet directions
Mailing address
9300 Se 91st Ave Ste 200
Happy Valley, OR 97086-3762
Registry dates
- Enumerated
- 2022-06-23
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.