Individual provider · Type 1 NPI

Nathaniel Lopez

Professional Counselor · Portland, OR

NPI number 1649403221 Active

Practice location

209 SW 4th Ave
Portland, OR 97204-1813

Mailing address

4427 NE 71st Ave
Portland, OR 97218-3547

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC10518 (OR)

Professional Counselor: Definition to come...

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About NPI 1649403221

Nathaniel Lopez's National Provider Identifier is 1649403221, issued on Aug 28, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on May 4, 2026.