Sherrilynn Blanton

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

97-04-08 Issued in OR

Practice address

4134 N Vancouver Ave Ste 102
Portland, OR 97217-2900

Phone

(503) 331-2548

Fax

(503) 331-2549

NPI assigned

Apr 18, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shellmire Unlimited, P.C.

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1659793107
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1104246909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 N VANCOUVER AVE STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172900",
            "telephone_number": "503-331-2548",
            "fax_number": "503-331-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 N VANCOUVER AVE STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172900",
            "telephone_number": "503-331-2548",
            "fax_number": "503-331-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "SHERRILYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "97-04-08",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A-2896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korie Jean Blankenship
• Michael Allen Blankenship, A.P.R.N., P.M.H.N.P.
• Sara Elizabeth Blankenship, AU.D.
• Jason Blanks
• Teresa Blanshine, CHN
• Linda Blarjeske
• Peter Anthony Blasco, MD
• Carolyn S. Blasdel, FNP
• Tiffany Blaser, CADC-R
• Ethan Andrew Blashford, PHARMD

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.