Individual
DR. BROOKE M SU-VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 413-3690
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD222962
OR
207YP0228X
Pediatric Otolaryngology Physician
A152702
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD222962
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
04/04/2025
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