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JACK LOPEZ CADCII
NPI 1750858858
Counselor - Addiction (Substance Use Disorder) in Bend, OR

Active since October 26, 2018
155 NE REVERE AVE STE 150, BEND, OR 97701(541) 617-4544(541) 749-2126 Get Directions Write a Review

NPPES record last updated: October 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Lopez Cadcii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK LOPEZ CADCII (NPI 1750858858) is an individual addiction (substance use disorder) provider in Bend, Oregon, licensed in Oregon (16-10-11) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1750858858
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK LOPEZCredential: CADCII
Location Address155 NE REVERE AVE STE 150Bend, OR 97701-4147
Mailing Address155 Ne Revere Ave Ste 150Bend, OR 97701-4147 · (541) 617-4544 · Fax (541) 749-2126
Phone(541) 617-4544
Fax(541) 749-2126
Sole ProprietorYes
Enumeration DateOctober 26, 2018
✔ NPI 1750858858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 16-10-11
155 NE REVERE AVE STE 150, Bend, OR 97701
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE JOHNSON
Counselor (Addiction (Substance Use Disorder))
155 NE REVERE AVE STE 150
BEND, OR 97701
Deschutes County (541) 617-4544
ANNE WENSEL
Counselor (Addiction (Substance Use Disorder))
155 NE REVERE AVE STE 150
BEND, OR 97701
Deschutes County (541) 617-4544
JERRICA BAKER
Counselor (Addiction (Substance Use Disorder))
155 NE REVERE AVE STE 150
BEND, OR 97701
Deschutes County (541) 617-4544
RACHEL CUMMINGS
Counselor
155 NE REVERE AVE STE 150
BEND, OR 97701
Deschutes County (541) 617-4544
ORTC, LLC
Clinic/Center (Methadone)
155 NE REVERE AVE STE 150
BEND, OR 97701
Deschutes County (541) 617-4544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Lopez's NPI number?

The NPI number for Jack Lopez is 1750858858. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Where is Jack Lopez located?

Jack Lopez practices at 155 NE Revere Ave Ste 150, Bend, OR 97701. The listed phone number is (541) 617-4544.

What is Jack Lopez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Lopez was last updated on October 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.