SEQUOIA MENTAL HEALTH (NPI# 1558638619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558638619 |
| Entity Type | Organization |
| Organization Name | SEQUOIA MENTAL HEALTH |
| Practice Address |
4585 Sw 185th Ave Beaverton OR 97007-1557 |
| Mailing Address |
4180 Sw 185th Ave Aloha OR 97007-1564 |
| Practice Telephone | 5035919280 |
| Practice Fax Number | 5038482072 |
| Mailing Telephone | 5036494925 |
| Mailing Fax Number | 5035915602 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | MR. PARLAN MALCOLM BETTS JR. (SKILLS TRAINER) |
| Authorized Official Telephone | 5036494925 |
| Authorized Official Credential | QMHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NONE | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SEQUOIA MENTAL HEALTH SERVICES, INC. | 4585 Sw 185th Ave, Beaverton, OR 97007-1557 |
| Oregon Corporations, Companies and Business Names | SEQUOIA MENTAL HEALTH SERVICES, INC. | 4585 Sw 185th Ave, Beaverton, OR 97078 |
| Street Address |
4585 SW 185TH AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679925671 | Elizabeth Fulsher | Social Worker | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2016-07-01 |
| 1295196434 | James Mcdonald | Community Based Residential Treatment Facility, Mental Illness | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2016-03-16 |
| 1295191898 | Michael Wayne Freier | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2016-01-12 |
| 1568836492 | Courtney Gulosh | Registered Nurse | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2015-11-16 |
| 1649640301 | Alicia Sager | Social Worker | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2015-10-06 |
| 1528438363 | Jessica Walther | Counselor | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2015-10-06 |
| 1114396843 | Christa Mann | Social Worker | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2015-09-23 |
| 1962881607 | Taylor Viuhkola | Counselor | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2015-05-27 |
| 1114306818 | Amy Juliet Schulz | Counselor | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2015-05-27 |
| 1245637750 | Hannah Zellmer | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2014-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| 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 |
|---|---|---|---|---|
| 1295196434 | James Mcdonald | Community Based Residential Treatment Facility, Mental Illness | 4585 Sw 185th Ave, Beaverton, OR 97078-1557 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| Find all providers with the same taxonomy | ||||
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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.