Individual provider · Type 1 NPI

Shelby Wilson, QMHP

Mental Health Counselor · Portland, OR

NPI number 1841720752 Active

Practice location

703 NE Hancock St
Portland, OR 97212-3955

Call (503) 230-9875 Map

Fax (503) 331-3441

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X26-QMHP-R-4543 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1841720752

Shelby Wilson, QMHP's National Provider Identifier is 1841720752, issued on Jun 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 30, 2026.