Provider Demographics
NPI:1790140879
Name:NEILSON, ROBERT SCHEER (ND LAC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:SCHEER
Last Name:NEILSON
Suffix:
Gender:M
Credentials:ND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 NW 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013-3532
Mailing Address - Country:US
Mailing Address - Phone:503-266-7443
Mailing Address - Fax:503-266-7449
Practice Address - Street 1:452 NW 1ST AVE
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-3532
Practice Address - Country:US
Practice Address - Phone:503-266-7443
Practice Address - Fax:503-266-7449
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC174915171100000X
OR3023175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist