Individual
RUBY MICHELLE LOPEZ MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29174 SW TOWN CENTER LOOP W STE 101, WILSONVILLE, OR 97070-9309
(971) 252-6155
Mailing address
285 BRANDYWINE CT, WOODBURN, OR 97071-5533
(503) 477-3354
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10223913
OR
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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