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NPI Code Detail

MEDICARE: MRS. SYLVIA LYNN LOPEZ SLP

MEDICARE: MRS. SYLVIA LYNN LOPEZ SLP
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
1251300000XLocal Education Agency (LEA)TSLP5694AZ
2235Z00000XSpeech-Language Pathologist015417OR

General Provider Information

NPI Number : 1225211717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYLVIA LYNN LOPEZ SLP
Provider Business Mailing Address
First Line : 428 HEDIN TER
Second Line :
City : GASTON
State : OR
Zip : 97119-7869
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3083 NE 49TH PL
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-6006
Country : US
Telephone Number : 503-844-1160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2007
Last Update Date : 05/16/2024

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