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Individual

MS. SHERI BLUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,CADC1,LMT

Contact information

Practice address
3945 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5241
(503) 917-3226
(503) 386-3016
Mailing address
3945 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5241
(503) 917-3226
(503) 386-3016

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-12-06
OR
1041C0700X
Clinical Social Worker
Primary
L6079
OR
225700000X
Massage Therapist
5842
OR

Other

Enumeration date
03/16/2007
Last updated
05/22/2019
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