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KIRK M SHEPARD LPC
NPI 1508110974
Counselor - Mental Health in Portland, OR

Active since November 06, 2012
2100 NE BROADWAY, #333, PORTLAND, OR 97232(503) 498-8102 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirk M Shepard Lpc NPPES

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

KIRK M SHEPARD LPC (NPI 1508110974) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C4136) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1508110974
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKIRK M SHEPARDCredential: LPC
Location Address2100 NE BROADWAY, #333Portland, OR 97232
Mailing Address2100 Ne Broadway, #333Portland, OR 97232 · (503) 498-8102
Phone(503) 498-8102
Sole ProprietorYes
Enumeration DateNovember 6, 2012
Last NPPES UpdateMay 19, 2016
✔ NPI 1508110974 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 in OR · C4136
2100 NE BROADWAY, Portland, OR 97232
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN WILLIAM BUSH PH.D.
Psychologist
2100 NE BROADWAY, SUITE 101
PORTLAND, OR 97232
Multnomah County (503) 287-2800
MRS. ANDREA JANE EKSTAM M.A., CCC-SLP
Speech-Language Pathologist
2100 NE BROADWAY, STE 119
PORTLAND, OR 97232
Multnomah County (319) 329-3007
MR. CHRISTOPHER PAUL WOOD L.M.T.
Massage Therapist
2100 NE BROADWAY, SUITE 225
PORTLAND, OR 97232
Multnomah County (503) 780-0358
MS. MARY WELLS POPE M.A., LPC
Counselor (Mental Health)
2100 NE BROADWAY, SUITE 335
PORTLAND, OR 97232
Multnomah County (503) 467-1790
MS. CAMILLE B HOOK L.M.T.
Massage Therapist
2100 NE BROADWAY, SUITE 225
PORTLAND, OR 97232
Multnomah County (503) 804-3596

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 Kirk Shepard's NPI number?

The NPI number for Kirk Shepard is 1508110974. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Where is Kirk Shepard located?

Kirk Shepard practices at 2100 NE Broadway #333, Portland, OR 97232. The listed phone number is (503) 498-8102.

What is Kirk Shepard'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 Kirk Shepard was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.