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Anthony W Velasquez JR.
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1912482092

Anthony W Velasquez JR. is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Anthony W Velasquez JR. practices in Portland, OR. The NPI Number for Anthony W Velasquez JR. is 1912482092 and holds a License No. 18-P-17 (Oregon).

The current practice location address for Anthony W Velasquez JR. is 1316 Se 12Th Ave, Portland, OR and can be reached out via phone at 503-897-1916.

Location: 1316 Se 12Th Ave, Portland, OR, 97214-3604
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Provider Profile Details
NPI Number
1912482092
Provider Name
Anthony W Velasquez JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1316 Se 12Th Ave, Portland, OR, 97214-3604
Phone Number
503-897-1916
Fax Number
Provider Enumeration Date
09/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18-P-17 01 OR ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON
institution
Provider Business Practice Location Address Details
Address
1316 Se 12Th Ave
City
State
Zip
97214-3604
Phone Number
503-897-1916
Fax Number
person
Provider Business Mailing Address Details
Address
1316 Se 12Th Ave
City
State
Zip
97214-3604
Phone Number
503-897-1916
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18-P-17 (Oregon)
Definition
Definition to come...
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