Individual
DR. SAMUEL SISTO-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1034 N BOONES FERRY RD, WOODBURN, OR 97071-9602
(503) 603-3342
(503) 688-9590
Mailing address
1034 N BOONES FERRY RD, WOODBURN, OR 97071-9602
(503) 603-3342
(503) 688-9590
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3678
MA
111N00000X
Chiropractor
Primary
6108
OR
Other
Enumeration date
02/02/2020
Last updated
05/17/2026
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