Healthcare Provider Details

I. General information

NPI: 1003327925
Provider Name (Legal Business Name): THRIVING FAMILIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7791 SW REINDEER AVE
REDMOND OR
97756-8247
US

IV. Provider business mailing address

7791 SW REINDEER AVE
REDMOND OR
97756-8247
US

V. Phone/Fax

Practice location:
  • Phone: 541-241-6855
  • Fax:
Mailing address:
  • Phone: 541-241-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN POPPERT
Title or Position: OWNER
Credential:
Phone: 541-241-6855