Jennifer Michelle Lopez

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

2333 SE 12TH Ave
Portland, OR 97214-5323

Phone

(503) 466-1679

Fax

(503) 575-7145

NPI assigned

Nov 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1881350098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 SW BELLFLOWER ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972245211",
            "telephone_number": "949-636-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145323",
            "telephone_number": "503-466-1679",
            "fax_number": "503-575-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Victoria Lopez, LCSW
• Emanuel Lopez, LMT
• Erica Lorraine Lopez, RN
• Fernando Angel Lopez
• Hannah Grace Lopez
• Jodi Summer Lopez
• Joie Lopez
• Kalena Bernadette Lopez, OT
• Kimberly Lopez
• Leandro Alberto Lopez

• Health Educator in Portland, OR
• Providers in Portland, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.