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SHAKOTA WEIDMAN CADC R
NPI 1679435614
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since November 28, 2025
211 NE 18TH AVE, PORTLAND, OR 97232(971) 242-8544 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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
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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.

AUSTIN CHARLES PROSCH
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (971) 224-7674
MR. DANIEL ERIC PALMER JR. CADC-R
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (971) 248-8899
DELRAE LYNN DAMRON CACD-R
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (503) 747-0404
JERRY LEE LESTER SWINGER CADC-R
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (971) 242-8544
BRYAN DALE ROBERTSON
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (971) 272-8968
SANJAY AIKO BERGSTROM
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (971) 248-8899
TIMMOTHY PAUL THOMAS
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (971) 747-6121
MS. JANESSA RAE-LYNN MURRAY CADC-R
Counselor (Addiction (Substance Use Disorder))
211 NE 18TH AVE
PORTLAND, OR 97232
Multnomah County (971) 232-3850

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 Shakota Weidman's NPI number?

The NPI number for Shakota Weidman is 1679435614. It was assigned to this individual provider in the NPPES registry on November 28, 2025.

Where is Shakota Weidman located?

Shakota Weidman practices at 211 NE 18th Ave, Portland, OR 97232. The listed phone number is (971) 242-8544.

What is Shakota Weidman'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 Shakota Weidman was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.