Provider Demographics
NPI:1962212753
Name:SANANDO JUNTOS
Entity type:Organization
Organization Name:SANANDO JUNTOS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-635-8891
Mailing Address - Street 1:PO BOX 873882
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98687-3882
Mailing Address - Country:US
Mailing Address - Phone:503-320-7136
Mailing Address - Fax:971-206-6624
Practice Address - Street 1:1827 NE 44TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1468
Practice Address - Country:US
Practice Address - Phone:503-320-7136
Practice Address - Fax:971-206-6624
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRITTANY RUSS CLINICAL SOCIAL WORK AND THERAPY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-13
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty