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PRYOR SHADE
NPI 1013710375
Counselor - Mental Health in Portland, OR

Active since March 31, 2025
1500 NE IRVING ST STE 210, PORTLAND, OR 97232(425) 477-6984 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Pryor Shade NPPES

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

PRYOR SHADE (NPI 1013710375) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R11056) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1013710375
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePRYOR SHADE
Location Address1500 NE IRVING ST STE 210Portland, OR 97232-2243
Mailing Address5441 S Macadam Ave Ste 4502Portland, OR 97239-6106 · (415) 519-3197
Phone(425) 477-6984
Sole ProprietorYes
Enumeration DateMarch 31, 2025
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1013710375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R11056
1500 NE IRVING ST STE 210, Portland, OR 97232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

CAITLYN EID
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (971) 220-5846
KRISTOPHER ALAN ROCHELLE CSWA
Social Worker (Clinical)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (702) 521-9521
CHERYL LYNN GREATHOUSE MA
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (503) 944-9291
KEITH ALAN BROWN MA
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (425) 477-4215
ZACH EGGEMEYER
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (425) 477-4215
REGINA ANNE CRISTAN INTERN
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (425) 477-4215
MICHAEL LOTT
Counselor (Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (971) 485-0880
SEAN PAUL ELROD PMNP
Nurse Practitioner (Psychiatric/Mental Health)
1500 NE IRVING ST STE 210
PORTLAND, OR 97232
Multnomah County (425) 477-4215

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 Pryor Shade's NPI number?

The NPI number for Pryor Shade is 1013710375. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Pryor Shade located?

Pryor Shade practices at 1500 NE Irving St Ste 210, Portland, OR 97232. The listed phone number is (425) 477-6984.

What is Pryor Shade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Pryor Shade accept?

Health plans from Moda Health Plan, Inc. list Pryor Shade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pryor Shade was last updated on May 6, 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.