Teresa Lopez

Individual provider Active NPI Professional Counselor · Boardman, OR

NPI 1750433322 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1750433322
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
101 NW Boardman Ave.
Boardman, OR 97818
Phone
(541) 481-2911
Fax
(541) 481-2006
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

101 NW Boardman Ave.
Boardman, OR 97818

Mailing address

488 S Townsend Rd
P.O. Box 659
Hermiston, OR 97838-6741

Other names

  • Teresa de Jesus Lopez-Quiroz Other name

Other providers in Boardman, OR

All providers in Boardman, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.