Individual
LIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 NE BAKER ST STE A, MCMINNVILLE, OR 97128-2656
(503) 435-1900
Mailing address
4998 SEA GALE WAY N, KEIZER, OR 97303-6370
(503) 509-2680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65330
OR
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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