Healthcare Provider Details

I. General information

NPI: 1245921337
Provider Name (Legal Business Name): NATALIA CRISTINA LOPEZ SANTANA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90971 S WILLAMETTE ST
COBURG OR
97408-9206
US

IV. Provider business mailing address

10117 SE SUNNYSIDE RD STE F-740
CLACKAMAS OR
97015-7708
US

V. Phone/Fax

Practice location:
  • Phone: 833-628-5433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6308
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: