SISU HEALING PARTNERS NPI 1093474132

NPI Information

NPI: 1093474132
Provider Name: SISU HEALING PARTNERS
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1722 NW RALEIGH ST SPC 410
PORTLAND, OR
ZIP 97209
Phone: (503) 847-9836
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SISU HEALING PARTNERS is an addiction (substance use disorder) counselor in Portland, OR. SISU HEALING PARTNERS NPI is 1093474132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1722 NW RALEIGH ST SPC 410
PORTLAND, OR
ZIP 97209-754
Phone: (503) 847-9836

The provider's authorized official is Tara Rayburn .
The authorized official title is Founder & Director and has the following contact phone number (971) 645-0148.

The enumeration date for this NPI number is 12/16/2021 and was last updated on 12/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1134584527	OTHER	OREGON	NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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