Individual provider · Type 1 NPI

Shannon Deneen, QMHP-R

Mental Health Counselor · Portland, OR

NPI number 1093626608 Active

Practice location

703 NE Hancock St
Portland, OR 97212-3955

Call (503) 230-9875 Map

Fax (503) 331-3441

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 12360 E Burnside St, Portland, OR 97233-1042 · (971) 279-4800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X26-QMHP-R-4535 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1093626608

Shannon Deneen, QMHP-R's National Provider Identifier is 1093626608, issued on Sep 14, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 14, 2026.