Individual
EMANUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1260 SE LAMBERT ST APT 208, PORTLAND, OR 97202-6386
(503) 686-4449
Mailing address
1260 SE LAMBERT ST APT 208, PORTLAND, OR 97202-6386
(503) 686-4449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26171
OR
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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