=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760346332
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAIRN TO SUMMIT PSYCHOTHERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/09/2025
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5901 S MACADAM AVE STE 100
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97239-3620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-420-5914
-----------------------------------------------------
Fax | 541-223-9227
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 19314
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97280-0314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-420-5914
-----------------------------------------------------
Fax | 541-223-9227
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | SIERRA JORDAN SANCHEZ
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 503-420-5914
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------