Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethannie Nicole Lopez

Individual provider Pediatric Occupational Therapist · NPI 1912859513

Bethannie Nicole Lopez is an Occupational Therapist in Private Practice in Eugene, Oregon. Qualified in 2025, 1 year ago. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2026

Practice location Address checks out

488 E 11th Ave Ste LL2
Eugene, OR 97401-3601
Phone: (541) 359-1009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 546669 (OR)

Record details

NPI number1912859513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2026
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address1485 John Day Dr Unit 204, Coburg, OR 97408-6021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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