SHERI BLUE, LLC (NPI# 1255750659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255750659 |
| Entity Type | Organization |
| Organization Name | SHERI BLUE, LLC |
| Other Organization Name | SHERI BLUE, LMT |
| Practice Address |
3942 Se Hawthorne Blvd Portland OR 97214-5242 |
| Mailing Address |
3019 Se Brooklyn St Portland OR 97202-1920 |
| Practice Telephone | 5032355484 |
| Practice Fax Number | 5032353956 |
| Mailing Telephone | 5033674274 |
| Mailing Fax Number | 5032353956 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | MS. SHERI BLUE (OWNER) |
| Authorized Official Telephone | 5033674274 |
| Authorized Official Credential | LCSW, CADC I, LM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11-12-06 | OR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
L6079 | OR | Behavioral Health & Social Service Providers |
| Y | 225700000X | Massage Therapist | 5842 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Sheri Blue, LMT | Former Legal Business Name - Organization |
| Street Address |
3942 SE HAWTHORNE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346270550 | Phillip Warren Snell | Chiropractor | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2006-07-04 |
| 1144755729 | Jeffrey A Zelasko | Chiropractor | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2017-04-20 |
| 1831636612 | Cory Peterson | Chiropractor | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2017-01-31 |
| 1104229004 | Justin Wade Dean | Chiropractor | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2014-10-06 |
| 1215354741 | Hawthorne Wellness Center | Clinic/Center | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2014-03-21 |
| 1083965594 | Eva Hosseinion, L.ac., LLC | Clinic/Center | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2012-09-24 |
| 1467725895 | Ascend Chiropractic | Chiropractor | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2012-02-15 |
| 1285901686 | Taya Lindley, Lac, LLC | Clinic/Center | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2011-11-30 |
| 1295044485 | Hosseinion Family Medicine | Family Medicine | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2010-10-05 |
| 1760649198 | Solutions Sports and Spine, Inc | Clinic/Center | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on SHERI BLUE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.