Individual
ABIGAIL VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
430 SW 13TH AVE APT 1511, PORTLAND, OR 97205-2370
(505) 617-5516
Mailing address
430 SW 13TH AVE APT 1511, PORTLAND, OR 97205-2370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10046046
OR
363LP2300X
Primary Care Nurse Practitioner
10046046
OR
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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