NPIMap

Organization Active NPI

Sequoia Mental Health Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1306253935
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
R2961 Issued in OR
Legal business name
SEQUOIA MENTAL HEALTH INC.
Practice address
511 SW 10TH Avenue
Portland, OR 97002
Phone
(503) 282-0182
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Mrs. Lisa M Bizon, MS
Title
Residential Case Manager
Phone
(503) 754-3354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X R2961 OR Primary

Addresses

Primary practice location

511 SW 10TH Avenue
Portland, OR 97002

Mailing address

4585 SW 185TH Avenue
Aloha, OR 97007
Phone (503) 591-9280

Other names 1

  • Bizon Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bizon Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

511 SW 10th Ave
Portland, OR 97205
Phone (503) 224-6800

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1306253935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 SW 185TH AVENUE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "97007",
            "telephone_number": "503-591-9280",
            "fax_number": "503-848-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97002",
            "telephone_number": "503-282-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA MENTAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "BIZON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RESIDENTIAL CASE MANAGER",
        "authorized_official_telephone_number": "503-754-3354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "R2961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bizon Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.