Griselda Velasco Lopez, PA-C

NPI #1982319463 in Woodburn, Oregon

Provider Information

NPI Number: 1982319463
Entity Type: Individual
Name: Griselda Velasco Lopez, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 18, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 1175 MOUNT HOOD AVE
City: Woodburn
State: Oregon
ZIP Code: 97071-9060
Phone: (503) 982-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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