Individual provider · Type 1 NPI

Jolynn Denise Shaffer, CRM II/QMHA-R

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1467123596 Active

Practice location

355 NW Division St
Gresham, OR 97030-5523

Fax (503) 231-1654

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X25-QMHA-R-7149 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-CRM-II-0495 (OR)

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

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About NPI 1467123596

Jolynn Denise Shaffer, CRM II/QMHA-R's National Provider Identifier is 1467123596, issued on Sep 28, 2021. 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 Nov 5, 2025.