Sanctuary Agency LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SANCTUARY AGENCY LLC

Practice address

3815 SW 102ND Ave
Beaverton, OR 97005-3245

Phone

(503) 949-2030

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

John Karanja

Title

Provider

Phone

(503) 949-2030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1811738487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 NW RAVENWOOD DR",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 SW 102ND AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053245",
            "telephone_number": "503-949-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "KARANJA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "503-949-2030"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Sampson
• Samuel Suk, MD, PC
• Joshua Sanchez, D.C.
• Kiora Sanchez
• Suzanne Marie Sanchez, MA, LPC
• Nichole M Sandahl, LMT
• Hilary Sandell, ND, LAC
• Ria Sandhu, DO
• Sandy Dental Clinic PC
• Corina Sanford

• Mental Illness Community Based Residential Treatment Facility in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.