Individual
ANA LOPEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 546-6377
Mailing address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 546-6377
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
111027
OR
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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