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LACEY SHIRAHAMA
NPI 1669724654
Counselor in Portland, OR

Active since October 15, 2012
3415 SE POWELL BLVD, PORTLAND, OR 97202, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacey Shirahama NPPES

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

LACEY SHIRAHAMA (NPI 1669724654) is an individual counselor in Portland, Oregon, licensed in Oregon (7176209) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1669724654
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLACEY SHIRAHAMA
Location Address3415 SE POWELL BLVD, PORTLAND, OR 97202Portland, OR 97202
Mailing Address12880 Se Ott StreeetClackams, OR 97015 · (503) 720-8352
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateOctober 15, 2012
✔ NPI 1669724654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · 7176209
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3415 SE POWELL BLVD, PORTLAND, OR 97202, Portland, OR 97202
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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 Lacey Shirahama's NPI number?

The NPI number for Lacey Shirahama is 1669724654. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Lacey Shirahama located?

Lacey Shirahama practices at 3415 SE Powell Blvd, Portland, Or 97202, Portland, OR 97202. The listed phone number is (503) 234-9591.

What is Lacey Shirahama's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lacey Shirahama was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.