Individual
DR. NITA VELLODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1675 SW MARLOW AVE STE 202, PORTLAND, OR 97225-5102
(503) 430-1777
(503) 372-5119
Mailing address
1675 SW MARLOW AVE STE 202, PORTLAND, OR 97225-5102
(503) 430-1777
(503) 372-5119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101016829
MI
207R00000X
Internal Medicine Physician
Primary
DO152484
OR
390200000X
Student in an Organized Health Care Education/Training Program
5101016829
MI
Other
Enumeration date
06/11/2007
Last updated
07/21/2022
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