SHAKOTA WEIDMAN CADC R
NPI 1679435614
Counselor - Addiction (Substance Use Disorder) in Portland, OR
Active since November 28, 2025
About Shakota Weidman Cadc R NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAKOTA WEIDMAN CADC R (NPI 1679435614) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1679435614
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHAKOTA WEIDMANCredential: CADC R
Location Address211 NE 18TH AVEPortland, OR 97232-2822
Mailing Address2934 Se Baker AveGresham, OR 97080-8665 · (503) 991-0965
Phone(971) 242-8544
Sole ProprietorYes
Enumeration DateNovember 28, 2025
NPPES CertifiedNovember 28, 2025
✔ NPI 1679435614 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
211 NE 18TH AVE, Portland, OR 97232
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))
211 NE 18TH AVE
PORTLAND, OR 97232
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
PORTLAND, OR 97232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679435614, enumerated as an "individual" on November 28, 2025.
The provider is located at 211 NE 18TH AVE PORTLAND, OR 97232 and the phone number is (971) 242-8544.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
