Individual provider · Type 1 NPI

Shandra Nicole Shultz, CADC-R, CRM, PSS

Counselor · Portland, OR

NPI number 1124915426 Active

Practice location

3716 NE Mlk Jr Blvd
Portland, OR 97212-1111

Call (503) 288-8066 Map

Mailing address

5415 SW Westgate Dr
Portland, OR 97221-2409

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XT-25-5231 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124915426

Shandra Nicole Shultz, CADC-R, CRM, PSS's National Provider Identifier is 1124915426, issued on Jun 19, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jun 19, 2025.