JONATHAN ANDREW LOPEZ

SALEM, OR
NPI1124871322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-25-4804)
Enumeration Date2024-04-08
Last Update Date2025-01-14
Business Address
JONATHAN ANDREW LOPEZ
1144 CENTER ST NE
SALEM, OR 97301-2523
Phone number: 503-363-2021
Mailing Address
JONATHAN ANDREW LOPEZ
PO BOX 17818
SALEM, OR 97305-7818
Phone number: 503-363-2021
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