Doctor Name: | KATHERINE LOPEZ SANKEY |
NPI Number: | 1023378429 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD165666 |
Business Practice Address: | 10330 Se 32nd Ave Ste 205 Milwaukie, OR - 972226594 |
Business Phone Number: | 5035138950 |
Business Fax Number: | |
Mailing Address: | 16144 Se Happy Valley Town Center Dr, Ste 214 HAPPY VALLEY |
State: | OR |
Postal Code: | 970864257 |
Phone Number: | 5036587715 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2012 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD165666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |