Provider Demographics
NPI:1104119668
Name:HELLMANN, SHERRY R (LMP)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:R
Last Name:HELLMANN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5006 CENTER ST STE N
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-2314
Mailing Address - Country:US
Mailing Address - Phone:253-476-3333
Mailing Address - Fax:253-476-3334
Practice Address - Street 1:5006 CENTER ST STE N
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-2314
Practice Address - Country:US
Practice Address - Phone:253-476-3333
Practice Address - Fax:253-476-3334
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA.60012878174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist