Individual provider · Type 1 NPI

Samuel Lopez, PA-C

Surgical Physician Assistant · Vancouver, WA

NPI number 1114167756 Active

Practice location

203 SE Park Plaza Dr Ste 140
Vancouver, WA 98684-5887

Call (800) 813-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA156712 (OR)
Surgical Physician Assistant Primary 363AS0400XPAL-3102 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1114167756

Samuel Lopez, PA-C's National Provider Identifier is 1114167756, issued on Feb 23, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vancouver, WA. The record was last updated on Mar 6, 2022.