Organization
SEQUOIA MENTAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PUMP (EXECUTIVE DIRECTOR)
(503) 591-9280
Entity
Organization
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
(503) 591-9280
(503) 848-2072
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
(503) 591-9280
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
320800000X
Mental Illness Community Based Residential Treatment Facility
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261503
—
OR
Enumeration date
01/06/2006
Last updated
04/11/2013
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