Healthcare Provider Details

I. General information

NPI: 1790493203
Provider Name (Legal Business Name): ADVENTUROUS HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 NW GREELEY AVE
BEND OR
97703-2943
US

IV. Provider business mailing address

2230 NE WELLS ACRES RD
BEND OR
97701-6441
US

V. Phone/Fax

Practice location:
  • Phone: 208-450-2017
  • Fax:
Mailing address:
  • Phone: 208-450-2017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JASON BARBEE
Title or Position: OWNER/ COUNSELOR
Credential: LPC
Phone: 208-450-2017