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LORETTA SHAH
NPI 1265980148
Counselor - Mental Health in Portland, OR

Active since September 20, 2016
12505 SE RAYMOND ST, PORTLAND, OR 97236(503) 760-8300(503) 760-8308 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2025, Jul 15, 2024, Sep 20, 2016 (3 updates tracked since 2016).

About Loretta Shah NPPES

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

LORETTA SHAH (NPI 1265980148) is an individual mental health provider in Portland, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1265980148
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLORETTA SHAH
Location Address12505 SE RAYMOND STPortland, OR 97236-3931
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 760-8300
Fax(503) 760-8308
Sole ProprietorNo
Enumeration DateSeptember 20, 2016
Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1265980148 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 · PROFESSIONALLICENSE
12505 SE RAYMOND ST, Portland, OR 97236
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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.

SHELLEY ARNESON
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300
LISA BETH RYAN
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300
NANCYANNE SMITH
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300
JULIA A DEMARRE
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300
COREY HALL
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300
WILL KHOA ALEXANDER
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300
JOHN RYAN
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300
MARIE ANTOINETTE CARTER
Counselor (Mental Health)
12505 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 760-8300

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 Loretta Shah's NPI number?

The NPI number for Loretta Shah is 1265980148. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Where is Loretta Shah located?

Loretta Shah practices at 12505 SE Raymond St, Portland, OR 97236. The listed phone number is (503) 760-8300.

What is Loretta Shah's specialty?

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

When was this NPI record last updated?

The NPPES record for Loretta Shah was last updated on November 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.