JOAQUIN LOPEZ

BEAVERTON, OR
NPI1437724259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C7533)
Enumeration Date2021-05-24
Last Update Date2024-03-19
Business Address
JOAQUIN LOPEZ MS
12250 SW 2ND ST STE A
BEAVERTON, OR 97005-2828
Phone number: 503-997-2275
Mailing Address
JOAQUIN LOPEZ MS
9450 SW PINEHURST DR
BEAVERTON, OR 97005-4265
Phone number: 503-997-2275