Healthcare Provider Details

I. General information

NPI: 1497104004
Provider Name (Legal Business Name): SOLUTIONS GROUP NW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON OR
97005
US

IV. Provider business mailing address

3800 SW CEDAR HILLS BLVD STE 170
BEAVERTON OR
97005-2020
US

V. Phone/Fax

Practice location:
  • Phone: 503-626-1800
  • Fax:
Mailing address:
  • Phone: 503-626-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: SANJAY RAIZADA
Title or Position: CEO
Credential:
Phone: 503-626-1800