Individual
GAIL ILENE VELONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2602 SE 81ST AVE, PORTLAND, OR 97206-1042
(503) 621-8992
Mailing address
2602 SE 81ST AVE, PORTLAND, OR 97206-1042
(503) 621-8992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7840
OR
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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