Individual
ANTOINETTE LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10260 SW GREENBURG RD, SUITE 430, PORTLAND, OR 97223-5500
(503) 330-6148
Mailing address
10260 SW GREENBURG RD, SUITE 430, PORTLAND, OR 97223-5500
(503) 330-6148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19754
OR
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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