Provider Demographics
NPI:1780914853
Name:NELSON, TAFFY KAY (TAFFY NELSON CD)
Entity type:Individual
Prefix:
First Name:TAFFY
Middle Name:KAY
Last Name:NELSON
Suffix:
Gender:F
Credentials:TAFFY NELSON CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1909
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97075-1909
Mailing Address - Country:US
Mailing Address - Phone:503-680-0129
Mailing Address - Fax:
Practice Address - Street 1:14745 SW SANDHILL LOOP
Practice Address - Street 2:SUITE 204
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-9079
Practice Address - Country:US
Practice Address - Phone:503-680-0129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula