Individual provider · Type 1 NPI

Anthony W. Velasquez Jr.

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1912482092 Active

Practice location

1316 SE 12th Ave
Portland, OR 97214-3604

Call (503) 897-1916 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-P-17 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912482092

Anthony W. Velasquez Jr.'s National Provider Identifier is 1912482092, issued on Sep 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Sep 25, 2018.