Lopez, Tandace Deeann

Lopez, Tandace Deeann is an individual health care provider with primary practice located at 3600 N Interstate Ave , Portland OR 97227-1106. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Lopez, Tandace Deeann can be contacted via phone (503) 249-3429.

Contact Information

Primary practice address
3600 N Interstate Ave Portland OR 97227-1106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1831286442
LBN Legal business name Lopez, Tandace Deeann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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