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SHERI BLUE LLC NPI 1255750659


NPI Information

NPI: 1255750659
Provider Name: SHERI BLUE, LLC

Former Legal Business Name: SHERI BLUE, LMT

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
3942 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214
Phone: (503) 235-5484
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SHERI BLUE, LLC is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. SHERI BLUE, LLC NPI is 1255750659. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Sheri Blue, Lmt.

The provider's business location address is:

3942 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214-242
Phone: (503) 235-5484
Fax: (503) 235-3956

The provider's authorized official is Sheri Blue .
The authorized official title is Owner and has the following contact phone number (503) 367-4274.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 4/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)11-12-06OREGONNo
21041C0700XSocial WorkerClinicalL6079OREGONNo
3225700000XMassage Therapist5842OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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