EDER DAVID VELAZQUEZ

PORTLAND, OR
NPI1548033996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
EDER DAVID VELAZQUEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 637-750-3546
Mailing Address
EDER DAVID VELAZQUEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: