SHAD W ALEXANDER MS
NPI 1346382330
Counselor - Mental Health in Portland, OR
Active since February 13, 2007
About Shad W Alexander Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAD W ALEXANDER MS (NPI 1346382330) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1346382330
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHAD W ALEXANDERCredential: MS
Location Address2901 E BURNSIDE STPortland, OR 97214-1831
Mailing Address2901 E Burnside StPortland, OR 97214-1831 · (503) 238-5203 · Fax (503) 238-5202
Phone(503) 238-5203
Fax(503) 238-5202
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346382330 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2901 E BURNSIDE ST, Portland, OR 97214
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.
Counselor (Addiction (Substance Use Disorder))
2901 E BURNSIDE ST
PORTLAND, OR 97214
PORTLAND, OR 97214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346382330, enumerated as an "individual" on February 13, 2007.
The provider is located at 2901 E BURNSIDE ST PORTLAND, OR 97214 and the phone number is (503) 238-5203.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.