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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHELBY SCOTT THOMPSON CRM
NPI 1104725860
Peer Specialist in Gresham, OR

Active since November 02, 2026
2072 NE BURNSIDE RD, GRESHAM, OR 97030(971) 436-2560 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shelby Scott Thompson Crm NPPES

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

SHELBY SCOTT THOMPSON CRM (NPI 1104725860) is an individual peer specialist in Gresham, Oregon, licensed in Oregon (6839023) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1104725860
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHELBY SCOTT THOMPSONCredential: CRM
Location Address2072 NE BURNSIDE RDGresham, OR 97030-7950
Mailing Address2072 Ne Burnside RdGresham, OR 97030-7950 · (971) 436-2560
Phone(971) 436-2560
Sole ProprietorNo
Enumeration DateNovember 2, 2026
NPPES CertifiedNovember 1, 2026
✔ NPI 1104725860 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 · 6839023
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.
2072 NE BURNSIDE RD, Gresham, OR 97030
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Other Providers at the Same Location NPPES 9

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

KRISTA FUQUA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
CAMERON RAMOS
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
LUJEIN SOLAIMAN ALKREIDI
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 232-2252
DEJA KITCHINER
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
SAMANA SAMI BEIDOUN
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
TETYANA ZELYANOVSKA
Counselor (Mental Health)
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
HAILEY MC KENZIE SARNACKI CADC, QMHA
Counselor (Addiction (Substance Use Disorder))
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (971) 436-2560
BRANDI NICHOLE MCPHERSON
Peer Specialist
2072 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 231-7480

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 Shelby Thompson's NPI number?

The NPI number for Shelby Thompson is 1104725860. It was assigned to this individual provider in the NPPES registry on November 2, 2026.

Where is Shelby Thompson located?

Shelby Thompson practices at 2072 NE Burnside Rd, Gresham, OR 97030. The listed phone number is (971) 436-2560.

What is Shelby Thompson'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 Shelby Thompson was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.