Individual
DR. REBECCA GRACE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-1059
(206) 598-3300
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60740420
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467718742
—
WA
Enumeration date
04/11/2012
Last updated
08/29/2017
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