EDWARDO C LOPEZ

PORTLAND, OR
NPI1124549696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-07-05
Last Update Date2024-08-26
Business Address
EDWARDO C LOPEZ
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
Mailing Address
EDWARDO C LOPEZ
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581