Healthcare Provider Details

I. General information

NPI: 1205687100
Provider Name (Legal Business Name): SHERYL ANN TOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15980 SW LANCASTER WAY APT 10
BEAVERTON OR
97078-2599
US

IV. Provider business mailing address

19205 SW HENNIG ST
BEAVERTON OR
97003-2412
US

V. Phone/Fax

Practice location:
  • Phone: 808-635-5968
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: