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

Jack Lopez, CADCII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750858858

Jack Lopez, CADCII is an Addiction (Substance Use Disorder) Counselor in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2018

Practice location Address checks out

155 NE Revere Ave Ste 150
Bend, OR 97701-4147
Phone: (541) 617-4544
Fax: (541) 749-2126
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 16-10-11 (OR)

Record details

NPI number1750858858
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII
Sole proprietorYes
NPI enumeratedOctober 26, 2018
Last updated in NPPESOctober 26, 2018

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