Healthcare Provider Details

I. General information

NPI: 1982009247
Provider Name (Legal Business Name): TREEHOUSE THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6396 SW MCVEY AVE
REDMOND OR
97756-9069
US

IV. Provider business mailing address

PO BOX 1397
BEND OR
97709-1397
US

V. Phone/Fax

Practice location:
  • Phone: 541-389-1848
  • Fax: 541-550-7956
Mailing address:
  • Phone: 541-389-1848
  • Fax: 541-550-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1500011088
License Number StateOR

VIII. Authorized Official

Name: JULIE EARNEST
Title or Position: INSURANCE AND CREDENTIALING COORDIN
Credential:
Phone: 458-231-1355