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ANDROMEDA DESA BLAIR
NPI 1619767050
Counselor - Mental Health in Portland, OR

Active since May 08, 2025
1411 SW MORRISON ST STE 310, PORTLAND, OR 97205(503) 352-2400 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andromeda Desa Blair NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDROMEDA DESA BLAIR (NPI 1619767050) is an individual mental health provider in Portland, Oregon and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1619767050
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDROMEDA DESA BLAIR
Location Address1411 SW MORRISON ST STE 310Portland, OR 97205-1945
Mailing Address1411 Sw Morrison St Ste 310Portland, OR 97205-1945 · (503) 352-2400
Phone(503) 352-2400
Sole ProprietorNo
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1619767050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1411 SW MORRISON ST STE 310, Portland, OR 97205
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUBURN BEEBE BA
Counselor (Mental Health)
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (503) 352-2400
JILLIAN YAKEL
Counselor (Mental Health)
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (217) 502-9707
NICOLE STANASOLOVICH
Counselor (Mental Health)
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (503) 352-2400
ERIKA YINDEEMARK
Counselor (Mental Health)
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (503) 352-2400
REBECCA ANNE SHANNON
Counselor (Mental Health)
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (503) 352-7333
STEPHANIE MILLOT
Counselor (Mental Health)
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (503) 352-2400
ALEXANDER CWALINSKI
Counselor (Mental Health)
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (503) 352-2400
JOSEPH HENRY MACMASTER
Student in an Organized Health Care Education/Training Program
1411 SW MORRISON ST STE 310
PORTLAND, OR 97205
Multnomah County (503) 352-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andromeda Blair's NPI number?

The NPI number for Andromeda Blair is 1619767050. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Andromeda Blair located?

Andromeda Blair practices at 1411 SW Morrison St Ste 310, Portland, OR 97205. The listed phone number is (503) 352-2400.

What is Andromeda Blair's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Andromeda Blair was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.