Individual
MR. JOHN VELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4031 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5243
(503) 367-2445
Mailing address
620 SE 28TH AVE, PORTLAND, OR 97214-3012
(503) 239-5061
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01037
OR
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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