Provider Demographics
NPI:1982093977
Name:LABECK, SHERRY ARLENE (ND)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:ARLENE
Last Name:LABECK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7237 N VINCENT AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-5849
Mailing Address - Country:US
Mailing Address - Phone:503-285-2919
Mailing Address - Fax:
Practice Address - Street 1:4640 SW MACADAM AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4256
Practice Address - Country:US
Practice Address - Phone:503-230-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR819175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath