| Todd Gordon Nelson, CRNA | |
|
521 Adams Ave, Morton, WA 98356-9323 | |
| (360) 496-5112 | |
| (360) 496-3508 |
| Full Name | Todd Gordon Nelson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 521 Adams Ave, Morton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740217389 | NPI | - | NPPES |
| 2105898 | Medicaid | OR |
| Entity Name | Lewis County Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205882909 PECOS PAC ID: 6002727385 Enrollment ID: O20040121000814 |
| Entity Name | Public Hospital District No 1 Of Mason County |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164650032 PECOS PAC ID: 0345139275 Enrollment ID: O20090921000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Gordon Nelson, CRNA Po Box 4008, Portland, OR 97208-4008 Ph: (503) 372-2740 | Todd Gordon Nelson, CRNA 521 Adams Ave, Morton, WA 98356-9323 Ph: (360) 496-5112 |
Shanna Lee Angel, ARNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 521 Adams, Morton, WA 98356 Phone: 360-496-5112 Fax: 360-496-3511 | |
Heather Day, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 521 Adams Ave, Morton, WA 98356 Phone: 360-496-5112 | |
Dr. Christopher Thomas Gordon, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 521 Adams Ave, Morton, WA 98356 Phone: 360-496-5112 |