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Individual

LUCIA ARENZANA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
5050 NE HOYT ST STE 353, PORTLAND, OR 97213-2983
(503) 297-4123
(503) 297-0344
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA194270
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500770099
OR
Enumeration date
08/10/2016
Last updated
11/18/2021
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