Individual
ISAAC LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(541) 900-4285
(888) 810-2993
Mailing address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(541) 900-4285
(888) 810-2993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R10145
OR
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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