Individual
LUIS ENRIQUE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(971) 762-4663
Mailing address
6363 SW CANYON CT APT 111, PORTLAND, OR 97221-1471
(503) 608-8690
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
04/14/2025
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