Organization
SEQUOIA MENTAL HEALTH INC.
Active
Other names
Bizon Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M BIZON MS (RESIDENTIAL CASE MANAGER)
(503) 754-3354
Entity
Organization
Contact information
Practice address
511 SW 10TH AVENUE, PORTLAND, OR 97002
(503) 282-0182
Mailing address
4585 SW 185TH AVENUE, ALOHA, OR 97007
(503) 591-9280
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
R2961
OR
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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