Healthcare Provider Details

I. General information

NPI: 1700747045
Provider Name (Legal Business Name): SOMERS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10883 SE MAIN ST # 206
MILWAUKIE OR
97222-7641
US

IV. Provider business mailing address

1327 SE TACOMA ST # 315
PORTLAND OR
97202-6639
US

V. Phone/Fax

Practice location:
  • Phone: 503-686-1047
  • Fax: 844-587-9570
Mailing address:
  • Phone: 503-686-1047
  • Fax: 844-587-9570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SHEILA SOMERS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 503-686-1047