Individual
MAYELA VELASQUEZ TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4925 N ALBINA AVE, PORTLAND, OR 97217-2609
(503) 548-4922
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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