SHAWN E SHULTZ BSW, CADC I, QMHA
NPI 1316469596
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since July 10, 2017
12662 SE STARK ST STE A, PORTLAND, OR 97233(503) 546-7677 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2018, Jul 10, 2017 (2 updates tracked since 2017).

About Shawn E Shultz Bsw, Cadc I, Qmha NPPES

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

SHAWN E SHULTZ BSW, CADC I, QMHA (NPI 1316469596) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1316469596
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHAWN E SHULTZCredential: BSW, CADC I, QMHA
Location Address12662 SE STARK ST STE APortland, OR 97233-1058
Mailing Address12662 Se Stark St Ste APortland, OR 97233-1058 · (503) 546-7677
Sole ProprietorYes
Enumeration DateJuly 10, 2017
Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
NPI 1316469596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
12662 SE STARK ST STE A, Portland, OR 97233

Other Identifiers 1

Medicaid1316469596OR

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 Shawn Shultz's NPI number?

The NPI number for Shawn Shultz is 1316469596. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Shawn Shultz located?

Shawn Shultz practices at 12662 SE Stark St Ste A, Portland, OR 97233. The listed phone number is (503) 546-7677.

What is Shawn Shultz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shawn Shultz was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.