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 provides Clinical Social Worker services 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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