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1538904974
RICARDO LOPEZ
PORTLAND, OR
NPI
1538904974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 24-CRM-3224)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
RICARDO LOPEZ
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-944-4410
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Mailing Address
RICARDO LOPEZ
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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