Provider Demographics
NPI:1558636894
Name:DR CHRISTOPHER VELEY DMD
Entity Type:Organization
Organization Name:DR CHRISTOPHER VELEY DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BLAUWIEKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-656-1905
Mailing Address - Street 1:601 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2253
Mailing Address - Country:US
Mailing Address - Phone:503-656-1905
Mailing Address - Fax:503-656-9680
Practice Address - Street 1:601 CENTER ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2253
Practice Address - Country:US
Practice Address - Phone:503-656-1905
Practice Address - Fax:503-656-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR64991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty