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Individual

VIRGINIA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4225 SE HARRISON ST, PORTLAND, OR 97215-3154
(503) 720-8275
Mailing address
4225 SE HARRISON ST, PORTLAND, OR 97215-3154
(503) 720-8275

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
094000236RN
OR

Other

Enumeration date
11/10/2016
Last updated
11/10/2016
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