Individual
TRISHA MENDOZA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95003941
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
95003941
CA
Other
Enumeration date
04/26/2016
Last updated
12/17/2021
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