Individual
MAURO FRANCISCO REYES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 MONROE ST, MEDFORD, OR 97501-3522
(541) 608-6868
Mailing address
500 MONROE ST, MEDFORD, OR 97501-3522
(541) 608-6868
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113473
OR
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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