Healthcare Provider Details

I. General information

NPI: 1699572263
Provider Name (Legal Business Name): PHOEBE SHERMAN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 NE 2ND AVE
PORTLAND OR
97232-2003
US

IV. Provider business mailing address

1747 E NORTHERN AVE UNIT 253
PHOENIX AZ
85020-3994
US

V. Phone/Fax

Practice location:
  • Phone: 503-944-8000
  • Fax:
Mailing address:
  • Phone: 720-257-1089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10061774
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: