Individual provider · Type 1 NPI

Jasmine Olivia Shaw

Mental Health Counselor · Portland, OR

NPI number 1700410941 Active

Practice location

5415 SW Westgate Dr
Portland, OR 97221-2409

Mailing address

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Mental Health Counselor 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700410941

Jasmine Olivia Shaw's National Provider Identifier is 1700410941, issued on Feb 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 24, 2026.