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1447664362
MARY LOPEZ
PORTLAND, OR
NPI
1447664362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-06-18
Last Update Date
2014-11-17
Business Address
-- MARY LOPEZ M.A.
4212 SE DIVISION ST SUITE 100
PORTLAND, OR 97206-1628
Phone number: 503-238-0705
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Mailing Address
-- MARY LOPEZ M.A.
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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