Individual
DR. ESTRELINO D VELASCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2748 MILTON WAY, STE 101, MILTON, WA 98354-9382
(253) 922-5262
(253) 922-5299
Mailing address
2748 MILTON WAY, STE 101, MILTON, WA 98354-9382
(253) 922-5262
(253) 922-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301420
STATE L&I
WA
Enumeration date
07/09/2006
Last updated
03/21/2014
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