Healthcare Provider Details

I. General information

NPI: 1568015048
Provider Name (Legal Business Name): ANCHORS OF HOPE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9252 S. SCHOONER CREEK RD
OTIS OR
97368
US

IV. Provider business mailing address

4994 N HIGHWAY 101 UNIT 821
NEOTSU OR
97364-0830
US

V. Phone/Fax

Practice location:
  • Phone: 541-921-1504
  • Fax: 620-682-9840
Mailing address:
  • Phone: 541-921-1504
  • Fax: 620-682-9840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAURIE J DOEHASS-IMEL
Title or Position: MANAGING MEMBER
Credential: LCSW, LSCSW
Phone: 541-921-1504