Individual
KAI VELAZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 SUNNYSIDE RD SE, SALEM, OR 97302-3954
(503) 370-8284
Mailing address
843 25TH ST SE, SALEM, OR 97301-5084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201909971RN
OR
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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