Kimberly Lopez, is a
Peer Specialist based in Vancouver, Washington. Kimberly Lopez is licensed to practice in * (Not Available) (license number ) and her current practice location is
9300 Ne Oak View Dr, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 567-2211.
NPI number for Kimberly Lopez is 1174064240 and her current mailing address is 11609 Nw 30th Ct, Vancouver, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174064240.
Healthcare Provider's Profile
| Full Name | Kimberly Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 9300 Ne Oak View Dr, Vancouver, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174064240
- Provider Enumeration Date: 03/09/2017
- Last Update Date: 08/13/2019
Medical Identifiers
Medical identifiers for Kimberly Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174064240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60400610 (Washington) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Lopez,
11609 Nw 30th Ct,
Vancouver, WA 98685-3480
Ph: () - | Kimberly Lopez,
9300 Ne Oak View Dr,
Vancouver, WA 98662
Ph: (360) 567-2211 |
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