Individual
HANNAH GRACE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(971) 468-6833
Mailing address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(971) 468-6833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
05/20/2025
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