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JOHN REZENDE-SHALOM
NPI 1699437806
Counselor - Mental Health in Portland, OR

Active since October 06, 2021
33 NW BROADWAY, PORTLAND, OR 97209(503) 228-7619 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John Rezende-shalom NPPES

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

JOHN REZENDE-SHALOM (NPI 1699437806) is an individual mental health provider in Portland, Oregon, licensed in Oregon (21-QMHA-R-1569) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1699437806
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN REZENDE-SHALOM
Location Address33 NW BROADWAYPortland, OR 97209-3580
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681
Phone(503) 228-7619
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1699437806 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 · 21-QMHA-R-1569
33 NW BROADWAY, Portland, OR 97209
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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.

JEFFREY M MOORE LPC, CADC I
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
SAMANTHA DUFFARD
Peer Specialist
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
DAVID CROUSE
Counselor (Addiction (Substance Use Disorder))
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
KAELI HARWOOD LCSW
Social Worker (Clinical)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
AUBREY ALVARADO
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
PHILIP JOHN DEGRAFFENREID
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
MR. JEREMY HUTSON RN
Registered Nurse
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
KYLE STILWELL
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134

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 John Rezende-shalom's NPI number?

The NPI number for John Rezende-shalom is 1699437806. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is John Rezende-shalom located?

John Rezende-shalom practices at 33 NW Broadway, Portland, OR 97209. The listed phone number is (503) 228-7619.

What is John Rezende-shalom'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 John Rezende-shalom was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.