Individual
EMMANUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
(541) 756-9234
(541) 756-9617
Mailing address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
(541) 756-9234
(541) 756-9617
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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