MEDICARE: BRENT RICHARD NELSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225500000X	Respiratory/Developmental/Rehabilitative Specialist/Technologist	078408	OR

General Provider Information

NPI Number	:	1700636701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENT RICHARD NELSON

Provider Business Mailing Address
First Line	:	PO BOX 1114
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-0534
Country	:	US
Telephone Number	:	503-507-8710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 S COMMERCIAL WAY SE
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-7034
Country	:	US
Telephone Number	:	503-507-8710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	03/25/2024

Similar Medicare Providers

1194599597 — ELSIE CHAPMAN
Practice Location Address:

1106 S COMMERCIAL WAY SE
ALBANY, OR
97322-7034

Practice Phone: 971-307-2322
Practice Fax:

1619651148 — KAREN COX COUNSELING INC
Practice Location Address:

1106 S COMMERCIAL WAY SE
ALBANY, OR
97322-7034

Practice Phone: 503-507-1041
Practice Fax:

1992043863 — HILARY ANN LICARDI ARNP
Practice Location Address:

4600 EVERGREEN PL SE
ALBANY, OR
97322

Practice Phone: 541-812-4662
Practice Fax:

1104668623 — MISS SYNTHIA DENICE TONEY M.A., BCBA
Practice Location Address:

2532 SANTIAM HWY SE # 114
ALBANY, OR
97322-5211

Practice Phone: 541-223-9601
Practice Fax:

1649274531 — DR. KEVIN JAMES HOLZAPFEL D.C.
Practice Location Address:

905 19TH AVE SE
ALBANY, OR
97322-4228

Practice Phone: 541-928-4060
Practice Fax:

1508862053 — STEVEN CLARKE WEINTRAUB D.D.S.
Practice Location Address:

721 WAVERLY DR SE
ALBANY, OR
97322-5080

Practice Phone: 541-928-8434
Practice Fax: 541-928-2756

Directions to “ BRENT RICHARD NELSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.