Individual provider · Type 1 NPI
Shannon Lee Belillo
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1487430328
Active
Practice location
5415 SW Westgate Dr
Portland, OR 97221-2409
Fax (503) 629-8517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25-10-11659 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487430328
Shannon Lee Belillo's National Provider Identifier is 1487430328, issued on Sep 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 4, 2026.