Individual
JUAN GABRIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2935 SW CEDAR HILLS BLVD, BEAVERTON, OR 97005-1342
(503) 352-6006
(503) 352-6082
Mailing address
2935 SW CEDAR HILLS BLVD, BEAVERTON, OR 97005-1342
(503) 352-6044
(503) 352-6082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012306
OR
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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