Individual
BETHANNIE NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
488 E 11TH AVE STE LL2, EUGENE, OR 97401-3601
(541) 359-1009
Mailing address
1485 JOHN DAY DR UNIT 204, COBURG, OR 97408-6021
(541) 359-1009
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
546669
OR
Other
Enumeration date
02/14/2026
Last updated
02/18/2026
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