Individual provider · Type 1 NPI

Deanna Rae Shields, CADCI/CRM/PSS

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1003592759 Active

Practice location

355 NW Division St
Gresham, OR 97030-5523

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 1631 SW Coumbia St, Portland, OR 97201 · (503) 231-2641

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X23-CRM-1675 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26-04-11877 (OR)
Peer Specialist 175T00000XTHW000106791 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003592759

Deanna Rae Shields, CADCI/CRM/PSS's National Provider Identifier is 1003592759, issued on Jun 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Oct 8, 2026.