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Individual

DR. CRISTITO S. VELASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DOCTOR OF EDUCATION

Contact information

Practice address
12655 SW CENTER ST, BEAVERTON, OR 97005-1600
(541) 992-0709
(503) 746-6849
Mailing address
12655 SW CENTER ST, BEAVERTON, OR 97005-1600
(541) 992-0709
(503) 746-6849

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201212038
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152372
OR
Enumeration date
12/07/2018
Last updated
12/07/2018
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