Ivan Lopez
Ivan Lopez is a Peer Specialist in Medford, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
300 W Main StMedford, OR 97501-2756
Phone: (541) 816-1218
Fax: (541) 734-2410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1700655123 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 27, 2023 |
| Last updated in NPPES | June 4, 2024 |
| Certification date | June 4, 2024 |
| Mailing address | 300 W Main St, Medford, OR 97501-2756 |
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