SearchOregonAddiction (Substance Use Disorder) Counselor

Jack Lopez, CADCII

NPI 1750858858 · on the registry since 2018 · sole proprietor

Practice

Address
155 Ne Revere Ave Ste 150
Bend, OR 97701
Phone
(541) 617-4544
Fax
(541) 749-2126
Organisation at this address
Ortc, Llc
Ortc, Llc
Grants Pass Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon