Individual
BETSY VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 NE MLK BLVD STE 200, PORTLAND, OR 97212-2093
(503) 327-8205
Mailing address
14033 SE MARKET ST, PORTLAND, OR 97233-2349
(503) 705-1374
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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