DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. SHERI BLUE LCSW,CADC1,LMT

MEDICARE: MS. SHERI BLUE LCSW,CADC1,LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor11-12-06OR
2225700000XMassage Therapist5842OR
31041C0700XClinical Social WorkerL6079OR

General Provider Information

NPI Number : 1710011911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERI BLUE LCSW,CADC1,LMT
Provider Business Mailing Address
First Line : 3945 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5241
Country : US
Telephone Number : 503-917-3226
Fax Number : 503-386-3016
Provider Business Practice Location Address
First Line : 3945 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5241
Country : US
Telephone Number : 503-917-3226
Fax Number : 503-386-3016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 05/22/2019

Similar Medicare Providers

1922147545 — MS. ERIN BRADSHAW LCSW
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 971-235-2613
Practice Fax: 208-666-1642
1184917783 — TERAS INTERVENTIONS AND COUNSELING
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-719-5250
Practice Fax:
1295164432 — PHILLIP A BROYLES CADCII
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-719-5250
Practice Fax: 503-715-5672
1255750659 — SHERI BLUE, LLC
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-917-3226
Practice Fax: 503-386-3016
1598175317 — CAROL JEAN GRAVEN CADC1
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-839-9462
Practice Fax:
1619519576 — ERIKA LYNN BUDD CADCII, QMHA
Practice Location Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
97214-5241
Practice Phone: 503-719-5250
Practice Fax:

Directions to “ MS. SHERI BLUE LCSW,CADC1,LMT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.