Sequoia Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SEQUOIA CENTER

Practice address

5200 S Macadam Ave Ste 460
Portland, OR 97239-3836

Phone

(503) 563-4703

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Brian Hannah, LCSWNPI 1417186214

Title

Founder

Phone

(503) 563-4703

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Hannah, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1417186214
  NPD Authorized official

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1417600693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S MACADAM AVE STE 460",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S MACADAM AVE STE 460",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393836",
            "telephone_number": "503-563-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "503-563-4703",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickey John Seppala, QMHA
• Rebecca Elizabeth Seppala, DMD
• Anka Sepulveda, CCC-SLP
• Stephania Sepulveda
• Glenna K Sequeira, DMD
• Sequoia Collective
• Sequoia Mental Health Inc.
• Valerie A.S. Sera, M.D.
• Raffi Serafino
• Sabrina Seraj, DPT

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.