Individual provider · Type 1 NPI

Marcella Shepherd

Mental Health Counselor · Portland, OR

NPI number 1487339404 Active · reactivated Oct 2, 2025

Practice location

11740 SW 68th Pkwy Ste 200
Portland, OR 97223-9058

Mailing address

1110 SE Alder St Ste 301
Portland, OR 97214-2400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR11962

Mental Health Counselor: Definition to come...

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About NPI 1487339404

Marcella Shepherd's National Provider Identifier is 1487339404, issued on Jun 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2025.