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SISU HEALING PARTNERS
NPI 1093474132
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since December 16, 2021
1722 NW RALEIGH ST SPC 410, PORTLAND, OR 97209(503) 847-9836 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sisu Healing Partners NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SISU HEALING PARTNERS (NPI 1093474132) is a healthcare organization registered as an addiction (substance use disorder) in Portland, Oregon and active in the NPI registry since December 2021. The organization lists Tara Rayburn, Founder & Director, as its authorized official.

NPPES Registry Identity

NPI1093474132
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSISU HEALING PARTNERS
Location Address1722 NW RALEIGH ST SPC 410Portland, OR 97209-1754
Mailing Address1722 Nw Raleigh St Unit 410, Mailbox 304Portland, OR 97209 · (503) 847-9836
Phone(503) 847-9836
Organization SubpartNo
Authorized OfficialTara RayburnFounder & Director · (971) 645-0148
Enumeration DateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1093474132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1722 NW RALEIGH ST SPC 410, Portland, OR 97209
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Other Names 1

Other NameNot Applicable

Other Identifiers 1

Other1134584527OR · Npi Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sisu Healing Partners's NPI number?

The NPI number for Sisu Healing Partners is 1093474132. It was assigned to this organization in the NPPES registry on December 16, 2021. The provider is also known as not applicable.

Where is Sisu Healing Partners located?

Sisu Healing Partners is located at 1722 NW Raleigh St Spc 410, Portland, OR 97209. The listed phone number is (503) 847-9836.

What is Sisu Healing Partners's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sisu Healing Partners was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.