IndividualActive
Acosia Sirewop-Lopez, DA
NPI 1023995925 · Dental Assistant · Portland, OR
Provider details
- NPI number
- 1023995925
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DA
- Sex
- Female
- Sole proprietor
- No
- License
- 003214 (OR)
Practice location
12750 Se Stark St Bldg E
Portland, OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Mailing address
211 Se Caruthers St
Portland, OR 97214-4502
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.