JEREMY SHAWNTE RALLS CSWA
NPI 1184456014
Counselor - Mental Health in Portland, OR
Active since August 19, 2024
About Jeremy Shawnte Ralls Cswa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY SHAWNTE RALLS CSWA (NPI 1184456014) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1184456014
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY SHAWNTE RALLSCredential: CSWA
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (032) 349-5915
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateAugust 19, 2024
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1184456014 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3415 SE POWELL BLVD, Portland, OR 97202
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
The following 20 providers are registered at the same or a nearby location.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3415 SE POWELL BLVD
PORTLAND, OR 97202
PORTLAND, OR 97202
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3415 SE POWELL BLVD
PORTLAND, OR 97202
PORTLAND, OR 97202
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3415 SE POWELL BLVD
PORTLAND, OR 97202
PORTLAND, OR 97202
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3415 SE POWELL BLVD
PORTLAND, OR 97202
PORTLAND, OR 97202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184456014, enumerated as an "individual" on August 19, 2024.
The provider is located at 3415 SE POWELL BLVD PORTLAND, OR 97202 and the phone number is (503) 234-9591.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.