Active NPI
Christopher Paul Nelson, M.D.
- Specialist
- Clackamas, OR
National Provider Identifier
1144337619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD13692
- Practice address
- 9900 SE Sunnyside Rd
Kaiser Permanente Sunnybrook Medical Center
Clackamas, OR 97015-9777 - Phone
- (503) 571-3081
- Fax
- (503) 571-3069
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD13692 | OR | Primary |
| Specialist | 174400000X | MD00034604 | WA |
Addresses
Primary practice location
9900 SE Sunnyside Rd
Kaiser Permanente Sunnybrook Medical Center
Clackamas, OR 97015-9777
Mailing address
9900 SE Sunnyside Rd
Kaiser Permanente Sunnybrook Medical Center
Clackamas, OR 97015-9777
Phone (503) 571-3081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13692 | OR | MD | Specialist |
| MD00034604 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1144337619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 SE SUNNYSIDE RD",
"address_2": "KAISER PERMANENTE SUNNYBROOK MEDICAL CENTER",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159777",
"telephone_number": "503-571-3081",
"fax_number": "503-571-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 SE SUNNYSIDE RD",
"address_2": "KAISER PERMANENTE SUNNYBROOK MEDICAL CENTER",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159777",
"telephone_number": "503-571-3081",
"fax_number": "503-571-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTOPHER",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD13692",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00034604",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.