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1124549696
EDWARDO C LOPEZ
PORTLAND, OR
NPI
1124549696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-05
Last Update Date
2024-08-26
Business Address
EDWARDO C LOPEZ
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
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Mailing Address
EDWARDO C LOPEZ
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581
Copy
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