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1437724259
JOAQUIN LOPEZ
BEAVERTON, OR
NPI
1437724259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C7533)
Enumeration Date
2021-05-24
Last Update Date
2024-03-19
Business Address
JOAQUIN LOPEZ MS
12250 SW 2ND ST STE A
BEAVERTON, OR 97005-2828
Phone number: 503-997-2275
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Mailing Address
JOAQUIN LOPEZ MS
9450 SW PINEHURST DR
BEAVERTON, OR 97005-4265
Phone number: 503-997-2275
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