Provider Demographics
NPI:1679341507
Name:MENDOZA-MORENO, TOPACIO ABIGAIL (INTERPRETER)
Entity type:Individual
Prefix:
First Name:TOPACIO
Middle Name:ABIGAIL
Last Name:MENDOZA-MORENO
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2459 SE TUALATIN VALLEY HWY # 416
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-7919
Mailing Address - Country:US
Mailing Address - Phone:866-972-0235
Mailing Address - Fax:503-850-9910
Practice Address - Street 1:1535 LIBERTY ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4345
Practice Address - Country:US
Practice Address - Phone:866-972-0235
Practice Address - Fax:503-850-9910
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR110148171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter