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NPI Code Detail

MEDICARE: SADIE MAE LOPEZ-FELIX

MEDICARE: SADIE MAE LOPEZ-FELIX
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
1106S00000XBehavior TechnicianCB70091762WA

General Provider Information

NPI Number : 1386595890
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADIE MAE LOPEZ-FELIX
Provider Business Mailing Address
First Line : 2911 NE 68TH ST APT 84
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-2035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8019 NE 13TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-9604
Country : US
Telephone Number : 360-984-3131
Fax Number : 360-718-8542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ SADIE MAE LOPEZ-FELIX ” Practice Location

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