Provider Demographics
NPI:1780365221
Name:ENVISION THERAPIES
Entity type:Organization
Organization Name:ENVISION THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:503-708-7600
Mailing Address - Street 1:222 W MISSION AVE STE 40
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2347
Mailing Address - Country:US
Mailing Address - Phone:503-708-7600
Mailing Address - Fax:509-461-0049
Practice Address - Street 1:222 W MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2344
Practice Address - Country:US
Practice Address - Phone:503-708-7600
Practice Address - Fax:866-377-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty