Individual
PABLO DANIEL GASPAR-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4628
(503) 472-4020
Mailing address
18557 SW COLFELT LN, SHERWOOD, OR 97140-8873
(971) 400-7545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11332
OR
Other
Enumeration date
07/29/2020
Last updated
04/25/2023
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