ACOSIA SIREWOP-LOPEZ

PORTLAND, OR
NPI1023995925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  003214)
Enumeration Date2025-08-20
Last Update Date2025-08-22
Business Address
ACOSIA SIREWOP-LOPEZ DA
12750 SE STARK ST BLDG E
PORTLAND, OR 97233-1539
Phone number: 971-347-3009
Mailing Address
ACOSIA SIREWOP-LOPEZ DA
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 503-224-1044
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