| Pablo Daniel Gaspar-lopez, | |
| 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | |
| (503) 472-4020 | |
| Not Available | 
| Full Name | Pablo Daniel Gaspar-lopez | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 435 Ne Evans St Ste A, Mcminnville, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508475112 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L11332 (Oregon) | Primary | 
| Entity Name | Lutheran Community Services Northwest | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326056433 PECOS PAC ID: 1254237522 Enrollment ID: O20031210000871 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pablo Daniel Gaspar-lopez, 18557 Sw Colfelt Ln, Sherwood, OR 97140-8873 Ph: (971) 400-7545 | Pablo Daniel Gaspar-lopez, 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 Ph: (503) 472-4020 | 
| Lee J Monahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
| Brett C Moler, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 Fax: 503-474-4907 | |
| Caitlin Briana Schrage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 Ne Galloway St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
| Rebecca Sturman,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 609 Ne Baker St, Mcminnville, OR 97128 Phone: 503-435-4840 | |
| Emily Broom, MA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 435 Ne Evans St Ste A, Mcminnville, OR 97128 Phone: 503-472-4020 Fax: 503-472-8630 | |
| Kevin Brooks,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
| Julie C. Siepmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1075 Se Cedarwood Ave, Mcminnville, OR 97128 Phone: 503-435-1550 |