Individual
STEPHANIE M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UHN 80 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3098
(503) 494-6566
Mailing address
UHN 80 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3098
(503) 494-6566
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD28624
OR
2084P0800X
Psychiatry Physician
Primary
MD 28624
OR
Other
Enumeration date
05/21/2007
Last updated
03/16/2016
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