Individual
NICOLE VELOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
8339 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-2215
(503) 245-5639
Mailing address
8339 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-2215
(503) 245-5639
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
117483
TX
225XP0200X
Pediatric Occupational Therapist
Primary
354210
OR
225XP0200X
Pediatric Occupational Therapist
OT61482761
WA
Other
Enumeration date
04/08/2021
Last updated
04/09/2024
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