Healthcare Provider Details

I. General information

NPI: 1760346332
Provider Name (Legal Business Name): CAIRN TO SUMMIT PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 S MACADAM AVE STE 100
PORTLAND OR
97239-3620
US

IV. Provider business mailing address

PO BOX 19314
PORTLAND OR
97280-0314
US

V. Phone/Fax

Practice location:
  • Phone: 503-420-5914
  • Fax: 541-223-9227
Mailing address:
  • Phone: 503-420-5914
  • Fax: 541-223-9227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SIERRA JORDAN SANCHEZ
Title or Position: OWNER/OPERATOR
Credential: LCSW
Phone: 503-420-5914