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DEANNA RAE SHIELDS CADC-R/CRM/PSS
NPI 1003592759
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since June 27, 2023
355 NW DIVISION ST, GRESHAM, OR 97030(503) 231-2641(503) 231-1654 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Deanna Rae Shields Cadc-r/crm/pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANNA RAE SHIELDS CADC-R/CRM/PSS (NPI 1003592759) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (T-24-3997) and active in the NPI registry since June 2023. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1003592759
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEANNA RAE SHIELDSCredential: CADC-R/CRM/PSS
Location Address355 NW DIVISION STGresham, OR 97030-5523
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 231-2641
Fax(503) 231-1654
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1003592759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OR · T-24-3997✔ Licensed in OR · 23-CRM-1675
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000106791 (OR)
355 NW DIVISION ST, Gresham, OR 97030
Open in Google Maps ↗

Secondary Practice Location 1

Location 11631 SW COUMBIA STPORTLAND, OR 97201 · Phone (503) 231-2641 · Fax (503) 231-1654

Other Identifiers 2

Medicaid500849905OR
Medicaid500822019OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TARA JOELLE WALKER QMHP, MS
Counselor (Mental Health)
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
MELISSA A JONES CRM/PSS/QMHA-R
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
PRESTON FABRE PWS, CRM II
Peer Specialist
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
KAYLEN ANNMARIE SCOTT PWS,CRM
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695
MR. DAVID MADISON HUMPHRIES CADC I/CRM II
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695
MRS. SHANNON LORRAINE LEWIS CRM
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 255-6695
JOLYNN DENISE SHAFFER CRM II/QMHA-R
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695
FREDERICK FRANCIS SMITH CADC II
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deanna Shields's NPI number?

The NPI number for Deanna Shields is 1003592759. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Deanna Shields located?

Deanna Shields practices at 355 NW Division St, Gresham, OR 97030. The listed phone number is (503) 231-2641.

What is Deanna Shields's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Deanna Shields was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.