Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cerulean Blue Therapy, LLC

Organization Community/Behavioral Health Agency · NPI 1104516459

Cerulean Blue Therapy, LLC is a Community/Behavioral Health Agency in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

900 NW Lovejoy St Apt 515
Portland, OR 97209-3474
Phone: (503) 702-0554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1104516459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katharine Fazal — Owner · (503) 702-0554
NPI enumeratedMay 10, 2023
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address900 Nw Lovejoy St Apt 515, Portland, OR 97209-3474

Other providers in Portland