| NPI | 1255750659 |
|---|---|
| Former Legal Business Name | SHERI BLUE, LMT |
| Entity Type | Organization |
| Authorized Contact | SHERI BLUE Owner 503-367-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 5842) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-12-06) |
| 1041C0700X Social Worker, Clinical (Licence: OR L6079) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |