| Suly Aime Lopez, NP | |
|
3675 Pacific Ave Unit 101, Forest Grove, OR 97116-2132 | |
| (971) 762-4611 | |
| Not Available |
| Full Name | Suly Aime Lopez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3675 Pacific Ave Unit 101, Forest Grove, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811666795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202108976NP-PP (Oregon) | Primary |
| Entity Name | Timothy J Gray Do Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477518694 PECOS PAC ID: 1355390584 Enrollment ID: O20050114000392 |
| Entity Name | Icco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Suly Aime Lopez, NP 2410 S Heather St, Cornelius, OR 97113-6076 Ph: (541) 272-2333 | Suly Aime Lopez, NP 3675 Pacific Ave Unit 101, Forest Grove, OR 97116-2132 Ph: (971) 762-4611 |
Ms. Sharon Louise Benjamin, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2724 Harvest Ct, Forest Grove, OR 97116 Phone: 541-292-0434 Fax: 503-941-5114 | |
Armando Armenta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 Fax: 503-813-3799 | |
Janice A Tsuchida, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Ms. Kerry Pioske, ANP-PP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2269 Fax: 503-352-3105 | |
Susan Marie Gillispie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 | |
Brandy Badeaux Langland, APRN-WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1229 33rd Pl, Forest Grove, OR 97116 Phone: 225-362-4520 | |
Melinda Ann Sanfilippo, BSN, MSN, FNP-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4363 Sw Anderson Rd, Forest Grove, OR 97116 Phone: 503-708-6112 Fax: 503-352-9639 |