Individual
BENJAMIN R LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14355 N BYBEE LAKE CT, PORTLAND, OR 97203-6495
(503) 470-0829
Mailing address
14355 N BYBEE LAKE CT, PORTLAND, OR 97203-6495
(503) 470-0829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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