SEQUOIA MENTAL HEALTH INC. (NPI# 1306253935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306253935 |
Entity Type | Organization |
Organization Name | SEQUOIA MENTAL HEALTH INC. |
Other Organization Name | BIZON THERAPY |
Practice Address |
511 Sw 10th Avenue Portland OR 97002 |
Mailing Address |
4585 Sw 185th Avenue Aloha OR 97007 |
Practice Telephone | 5032820182 |
Mailing Telephone | 5035919280 |
Mailing Fax Number | 5038482072 |
Enumeration Date | 2014-07-15 |
Last Update Date | 2014-07-15 |
Authorized Official Name | MRS. LISA M BIZON (RESIDENTIAL CASE MANAGER) |
Authorized Official Telephone | 5037543354 |
Authorized Official Credential | MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | R2961 | OR | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Bizon Therapy | Doing Business As Name - Organization |
Street Address |
511 SW 10TH AVENUE |
City | PORTLAND |
State | OR |
Zip Code | 97002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487683181 | Joseph H Frankhouse | Surgery | 511 Sw 10th Avenue, Suite 714, Portland, OR 97205-2708 | 2006-07-03 |
1114079530 | Downtown Womens Center Inc | Clinic/Center | 511 Sw 10th Avenue, #905, Portland, OR 97205 | 2007-01-17 |
1275695561 | Stuart K Parks | Dentist | 511 Sw 10th Avenue, #1305, Portland, OR 97205 | 2006-12-14 |
1902978984 | Surgical Specialty Group PC | Clinic/Center | 511 Sw 10th Avenue, Suite 714, Portland, OR 97205-2708 | 2006-11-14 |
1629140603 | Gary H Leaverton | Colon & Rectal Surgery | 511 Sw 10th Avenue, Suite 714, Portland, OR 97205 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689141558 | Skyler Anderson | Nurse Practitioner | 21358 Or 99 E, Aurora, OR 97002 | 2018-10-30 |
1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
1295002129 | Marilee J Sullivan | Dental Hygienist | 21186 Sayre Drive, Aurora, OR 97002 | 2011-11-21 |
1386837367 | Life Flight Network LLC | Ambulance | 22285 Yellow Gate Lane, Suite 102, Aurora, OR 97002 | 2007-08-22 |
1033288030 | Robin Schaefer | Chiropractor | 21398 Highway 99e, Aurora, OR 97002 | 2006-11-06 |
1114203718 | Adam Clyde Burrill | Acupuncturist | 21358 Highway 99e Ne, Aurora, OR 97002 | 2011-10-26 |
1881750032 | Kay Lynette Stradinger | Psychologist | 27332 S Meridian Rd, Aurora, OR 97002-8314 | 2006-12-29 |
1437301884 | Regina Sunshine Flanagan | Naturopath | 28066 S Meridian Rd, Aurora, OR 97002-8321 | 2008-10-16 |
1184039190 | Sarah M. Geisler | Registered Nurse | 13448 Ne Denbrook Rd, Aurora, OR 97002-8553 | 2014-06-27 |
1902863467 | Susan A Corcoran | Advanced Practice Midwife | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2006-04-27 |
Find all providers in zip 97002 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558732966 | John William Thompson | Community Based Residential Treatment Facility, Mental Illness | 5538 Ne 24th Ave, Portland, OR 97211-6206 | 2015-10-12 |
1679941785 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 130 Se 119th Ave, Portland, OR 97216-3704 | 2015-09-04 |
1346637816 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17710 Halsey Crc, Portland, OR 97230 | 2015-04-22 |
1700273638 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17700 Ne Halsey St, Portland, OR 97230-6734 | 2015-04-17 |
1447654504 | Cascadia Behavioral Health Care | Community Based Residential Treatment Facility, Mental Illness | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2014-10-20 |
1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
1821491853 | Florence Mutie | Community Based Residential Treatment Facility, Mental Illness | 5123 Sw 62nd Ave, Portland, OR 97221-1170 | 2014-10-05 |
1679983381 | Janus Youth Program | Community Based Residential Treatment Facility, Mental Illness | 142 Se 160th Ave Apt 24, Portland, OR 97233-3558 | 2014-05-02 |
1558606384 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 12810 Sw 62nd Ave, Portland, OR 97219-8034 | 2012-12-05 |
1558686576 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2010-04-01 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.