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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TOMAS AUGUSTO LOPEZ, MD

Active Sole Proprietor

TOMAS AUGUSTO LOPEZ, MD is a Sports Medicine (Emergency) healthcare provider located in ALBANY, Oregon. NPI 1679830772 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · ALBANY, OR

Registration Details

NPI Number
1679830772
Provider Type
Individual
Gender
Male
NPI Issued
Apr 13, 2012 (14.374899180439 yrs)
Last Updated
Jul 21, 2022
Licenses
A131188 (CA)
MD1841 (OR)
Sole Proprietor
Yes

Practice Information

Address
2715 WILLETTA ST SW STE B
ALBANY, OR, 973213471
Browse OR providers · Browse ZIP 97321
Phone
5419265848
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.