Individual
MICAELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
554 4TH ST APT 3, SPRINGFIELD, OR 97477-4620
(503) 841-0102
Mailing address
554 4TH ST APT 3, SPRINGFIELD, OR 97477-4620
(503) 841-0102
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
10/06/2023
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