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Ingrid M Lopez
Peer Specialist in Tigard, Oregon
NPI 1194306951

Ingrid M Lopez is a Peer Specialist based in Salem, OR. Ingrid M Lopez practices in Tigard, OR. The NPI Number for Ingrid M Lopez is 1194306951 and holds a License No. (Oregon).

The current practice location address for Ingrid M Lopez is 7110 Sw Fir Loop Ste 160, Tigard, OR and can be reached out via phone at 971-701-0957. You can also correspond with Ingrid M Lopez through the mailing address at 4275 COMMERCIAL ST SE STE 180, SALEM, OR - 97302-4087 (mailing address contact number: 971-701-0957).

Location: 7110 Sw Fir Loop Ste 160, Tigard, OR, 97302-4087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194306951
Provider Name
Ingrid M Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
7110 Sw Fir Loop Ste 160, Tigard, OR, 97302-4087
Phone Number
971-701-0957
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7110 Sw Fir Loop Ste 160
City
Tigard
State
Oregon
Zip
97223-8031
Phone Number
971-701-0957
Fax Number
person
Provider Business Mailing Address Details
Address
4275 Commercial St Se Ste 180
City
Salem
State
Oregon
Zip
97302-4087
Phone Number
971-701-0957
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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