Individual
NICHOLAS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 98105
(206) 987-2345
Mailing address
4800 SAND POINT WAY NE # OC.7.830, SEATTLE, WA 98105-3901
(703) 581-3088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML60864368
WA
2080C0008X
Child Abuse Pediatrics Physician
Primary
MD219244
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2015
Last updated
07/08/2024
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