Healthcare Provider Details

I. General information

NPI: 1962022087
Provider Name (Legal Business Name): KAMI NICOLE VELTRI MD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2020
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 PACIFIC AVE
HOOD RIVER OR
97031-1956
US

IV. Provider business mailing address

849 PACIFIC AVE
HOOD RIVER OR
97031-1956
US

V. Phone/Fax

Practice location:
  • Phone: 541-386-6380
  • Fax:
Mailing address:
  • Phone: 541-386-6380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61443483
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD223480
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: