Individual
DR. KATHERINE MARIE VELICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(714) 655-5192
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(714) 655-5192
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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