Individual
ENRIQUITA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 B AVE, SUITE 221, LAKE OSWEGO, OR 97034
(503) 353-0888
(503) 653-5060
Mailing address
155 B AVE, SUITE 221, LAKE OSWEGO, OR 97034
(503) 353-0888
(503) 653-5060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD18849
OR
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
605603
CA
Other
Enumeration date
09/05/2007
Last updated
09/01/2021
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