Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hermilo Lopez-Santos

Individual provider Peer Specialist · NPI 1063221513

Hermilo Lopez-Santos is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
2

Practice location Address checks out

12672 SE Stark St
Portland, OR 97233-1058
Phone: (503) 546-9975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-24-4677 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 21-CRM-624 (OR)

Record details

NPI number1063221513
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

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