Ethos Therapy Services LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ETHOS THERAPY SERVICES LLC

Practice address

2667 SW Salmon Ave
Redmond, OR 97756-9466

Phone

(541) 313-8660

NPI assigned

Apr 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elise Devanport

Title

Owner

Phone

(541) 313-8660

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1609629492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 SW SALMON AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 SW SALMON AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569466",
            "telephone_number": "541-313-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "DEVANPORT",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-313-8660"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Erickson, ENP, FNP
• Thomas N Ernst, MD
• Kohleen E Ervin, RD, CSR, LD
• Matthew M Eschelbach, DO
• Leslie Estrada Burgos, BEHAVIOR TECHNICIAN
• Evan G Olson DDS LLC
• Cheryl Anne Evan
• Brenda Rene' Evans, L.M.T.
• Elizabeth Evans, MS, CF-SLP
• Nycol Evans, QMHA

• Addiction (Substance Use Disorder) Counselor in Redmond, OR
• Providers in Redmond, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.