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NPI Code Detail

MEDICARE: NANCY VANESSA VELASCO

MEDICARE:   NANCY VANESSA VELASCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
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General Provider Information

NPI Number : 1811827207
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY VANESSA VELASCO
Provider Business Mailing Address
First Line : 7900 SE LUTHER RD APT 5108
Second Line :
City : PORTLAND
State : OR
Zip : 97206-9279
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7900 SE LUTHER RD APT 5108
Second Line :
City : PORTLAND
State : OR
Zip : 97206-9279
Country : US
Telephone Number : 805-815-2378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ NANCY VANESSA VELASCO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.