Joey Edith Victoria-lopez PA-C

NPI 1053668541 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053668541
Gender Female
Enumeration Date 08/14/2012
Last Updated 08/14/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
450 TATONE STREET
BOARDMAN OR, 97818, US
Phone (541) 481-7212
Fax (541) 481-2020
Business Location
PO BOX 397
BOARDMAN OR, 97818-0397, US
Phone (541) 481-7212
Fax (541) 481-2020
Toxanomy
Taxonomy Code 363AM0700X
License State Oregon
License Number PA159636
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According to our database, Mrs. Joey Edith Victoria-lopez PA-C NPI is 1053668541, taxonomy code is 363AM0700X and license number is PA159636, license state is located at Oregon. Joey Edith Victoria-lopez PA-C physically located at 450 Tatone Street, Boardman OR, 97818. NPI Number Joey Edith Victoria-lopez PA-C has the Individual type.

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1053668541 NPI number is provided on an as is basis without warranty of any kind. 1053668541 is maintained by the National Plan & Provider Enumeration System. The contents of Joey Edith Victoria-lopez PA-C are for informational purposes only.