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1124432976
MICHAEL LOPEZ
PORTLAND, OR
NPI
1124432976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR 201403004CRNA)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
-- MICHAEL LOPEZ CRNA
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
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Mailing Address
-- MICHAEL LOPEZ CRNA
1431 CENTERPOINT BLVD SUITE 100
KNOXVILLE, TN 37932-1984
Phone number: 865-985-7053
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