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

Great Blue Heron Counseling LLC

Organization Clinical Social Worker · NPI 1154288041

Great Blue Heron Counseling LLC is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4223 SE 66th Ave
Portland, OR 97206-3658
Phone: (503) 400-3265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1154288041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Lutz — Clinical Social Worker · (503) 400-3265
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address4223 Se 66th Ave, Portland, OR 97206-3658

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