Healthcare Provider Details

I. General information

NPI: 1568907657
Provider Name (Legal Business Name): SHERYL ANNE REDBURN MA LPC, ART-T, CADC1
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERYL ANNE SOWERS LPC

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 COMMERCIAL ST
ASTORIA OR
97103-3327
US

IV. Provider business mailing address

PO BOX 190
TOPPENISH WA
98948-0190
US

V. Phone/Fax

Practice location:
  • Phone: 503-325-8315
  • Fax:
Mailing address:
  • Phone: 509-865-2395
  • Fax: 509-865-0757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC7613
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberT-10207860
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: