Individual
GEORGIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5240 NE ELAM YOUNG PKWY STE 100, HILLSBORO, OR 97124-6438
(503) 846-4555
(503) 846-3305
Mailing address
1171 NE 86TH WAY, BEAVERTON, OR 97006-6684
(971) 246-5485
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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