Individual provider · Type 1 NPI

Zachary Sisco

Mental Health Counselor · Portland, OR

NPI number 1336068501 Active

Practice location

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR9868 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1336068501

Zachary Sisco's National Provider Identifier is 1336068501, issued on Jul 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2026.