Individual
EDWIN C LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000864
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127911
STATE L&I
WA
05
—
1045085
—
WA
01
—
8902557
STATE CRIME VICTIMS
WA
01
—
970007234
MEDICARE RAILROAD
WA
Enumeration date
10/02/2006
Last updated
03/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us