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MADELINE SHEPHERD
NPI 1063001550
Peer Specialist in Portland, OR

Active since January 11, 2021
1316 SE 12TH AVE, PORTLAND, OR 97214(866) 231-3007 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madeline Shepherd NPPES

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

MADELINE SHEPHERD (NPI 1063001550) is an individual peer specialist in Portland, Oregon, licensed in Oregon (20-CRM-147) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1063001550
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMADELINE SHEPHERD
Location Address1316 SE 12TH AVEPortland, OR 97214-3604
Mailing Address1316 Se 12th AvePortland, OR 97214-3604
Phone(866) 231-3007
Sole ProprietorNo
Enumeration DateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1063001550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 20-CRM-147
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1316 SE 12TH AVE, Portland, OR 97214
Open in Google Maps ↗

Other Identifiers 1

Other20-CRM-147OR · Mhacbo

Other Providers at the Same Location NPPES 7

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

BLVD CENTERS, INC
Substance Abuse Rehabilitation Facility
1316 SE 12TH AVE
PORTLAND, OR 97214
Multnomah County (951) 323-7366
GERALD TODD FLYNN CADC II
Counselor (Mental Health)
1316 SE 12TH AVE
PORTLAND, OR 97214
Multnomah County (503) 897-1916
MOLLY JO CLOUTEIR CRM
Peer Specialist
1316 SE 12TH AVE
PORTLAND, OR 97214
Multnomah County (503) 897-1916
MARIE COYNER CADC-R
Counselor (Addiction (Substance Use Disorder))
1316 SE 12TH AVE
PORTLAND, OR 97214
Multnomah County (866) 231-3007
HUGH LEONARD CRM
Peer Specialist
1316 SE 12TH AVE
PORTLAND, OR 97214
Multnomah County (503) 897-1916
ANTHONY W VELASQUEZ JR.
Counselor (Addiction (Substance Use Disorder))
1316 SE 12TH AVE
PORTLAND, OR 97214
Multnomah County (503) 897-1916
MS. JAMIE MAZHNIKOVA CADC-R
Counselor (Addiction (Substance Use Disorder))
1316 SE 12TH AVE
PORTLAND, OR 97214
Multnomah County (503) 897-1916

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 Madeline Shepherd's NPI number?

The NPI number for Madeline Shepherd is 1063001550. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Madeline Shepherd located?

Madeline Shepherd practices at 1316 SE 12th Ave, Portland, OR 97214. The listed phone number is (866) 231-3007.

What is Madeline Shepherd's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Madeline Shepherd was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.