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NPI Code Detail

MEDICARE: ELIZABETH LOPEZ APRN

MEDICARE: ELIZABETH LOPEZ APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse202001463OR
2363LF0000XFamily Nurse Practitioner61354201WA
3363LF0000XFamily Nurse Practitioner202215291NP-PPOR
4163WE0003XEmergency Registered Nurse60547062WA

General Provider Information

NPI Number : 1942910146
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LOPEZ APRN
Provider Business Mailing Address
First Line : 1400 SW 5TH AVE STE 500
Second Line :
City : PORTLAND
State : OR
Zip : 97201-5537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17055 RUBEN LN
Second Line :
City : SANDY
State : OR
Zip : 97055-9276
Country : US
Telephone Number : 503-668-8002
Fax Number : 503-668-5246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 04/06/2026

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Directions to “ ELIZABETH LOPEZ APRN” Practice Location

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