ANTHONY MICHAEL LOPEZ

PORTLAND, OR
NPI1114394079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  21295)
Enumeration Date2015-08-27
Last Update Date2016-08-24
Business Address
-- ANTHONY MICHAEL LOPEZ LMT
6504 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 901-409-1352
Mailing Address
-- ANTHONY MICHAEL LOPEZ LMT
1307 SE 17TH AVE
PORTLAND, OR 97214-3797
Phone number: 503-310-3087
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