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MRS. SHANDRA NICOLE SHULTZ CADC-R, CRM, PSS
NPI 1124915426
Counselor in Portland, OR

Active since June 19, 2025
3716 NE MLK JR BLVD, PORTLAND, OR 97212(503) 288-8066 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shandra Nicole Shultz Cadc-r, Crm, Pss NPPES

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

MRS. SHANDRA NICOLE SHULTZ CADC-R, CRM, PSS (NPI 1124915426) is an individual counselor in Portland, Oregon, licensed in Oregon (T-25-5231) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1124915426
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. SHANDRA NICOLE SHULTZCredential: CADC-R, CRM, PSS
Location Address3716 NE MLK JR BLVDPortland, OR 97212-1111
Mailing Address5415 Sw Westgate DrPortland, OR 97221-2409 · (503) 645-3581
Phone(503) 288-8066
Sole ProprietorYes
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1124915426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · T-25-5231
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3716 NE MLK JR BLVD, Portland, OR 97212
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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.

HANNAH ROSE-MARIE HARNSBERGER MS
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
HIKARU KUKITA
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
KASEY LEE PUJOL
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 645-3581
CELESS JOLLYMORE
Counselor (Mental Health)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
IAN RICHARD STARR M.D.
Psychiatry & Neurology (Psychiatry)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
MRS. CHERITY WHITEAKER
Counselor (Mental Health)
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
JESSICA HARLEM-SIEGEL
Counselor
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066
CALVIN BATES
Social Worker
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 288-8066

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 Shandra Shultz's NPI number?

The NPI number for Shandra Shultz is 1124915426. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Shandra Shultz located?

Shandra Shultz practices at 3716 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 288-8066.

What is Shandra Shultz's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shandra Shultz was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.