Individual
CLAUDIA JESSY HENRIQUEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-1542
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-1542
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD214493
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2020
Last updated
09/06/2023
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