Individual
CHRIS VELASQUEZ CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 200-2408
Mailing address
861 TWIN PINES CIR, ASHLAND, OR 97520-1462
(541) 890-0896
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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