Individual
NIKKI PISTIOLAS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19365 SW 65TH AVE STE 205, TUALATIN, OR 97062-9196
(503) 427-0588
(503) 376-5064
Mailing address
19365 SW 65TH AVE STE 205, TUALATIN, OR 97062-9196
(503) 427-0588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10022219
OR
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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