Nelson, Jared William

Nelson, Jared William is an individual health care provider with primary practice located at 2207 N Molter Rd Ste 203 , Liberty Lake WA 99019-7571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, Jared William can be contacted via phone (509) 348-2214.

Contact Information

Primary practice address
2207 N Molter Rd Ste 203 Liberty Lake WA 99019-7571
Phone: (509) 348-2214
Fax: (509) 903-0040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60272838 Washington

Profile Details

NPI number 1528034980
LBN Legal business name Nelson, Jared William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 5th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528034980 NPPES
Oregon MEDICAID 287973

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