Individual
MS. CHARALLA DEE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
4370 PORTLAND DRIVE, HOOD RIVER, OR 97031-9608
(541) 308-6869
(541) 386-4568
Mailing address
4370 PORTLAND DRIVE, HOOD RIVER, OR 97031-9608
(541) 308-6869
(541) 386-4568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1404
OR
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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