IndividualActive
Kimberly Lopez
NPI 1174064240 · Peer Specialist · Vancouver, WA
Provider details
- NPI number
- 1174064240
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CG60400610 (WA)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9300 Ne Oak View Dr
Vancouver, WA 98662
Phone: (360) 567-2211
Street-level locationGet directions
Mailing address
11609 Nw 30th Ct
Vancouver, WA 98685-3480
Additional practice locations (2)
- 921 14th AveLongview, WA 98632-2316Phone: (360) 423-0203Fax: (360) 577-0269
- 921 14th AveLongview, WA 98632-2316Phone: (360) 423-0203Fax: (360) 577-0269
Registry dates
- Enumerated
- 2017-03-09
- Last updated
- 2019-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.