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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHADEY DICKINSON
NPI 1790691459
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since August 21, 2026
1027 E BURNSIDE ST, PORTLAND, OR 97214(503) 239-8400(503) 239-8407 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shadey Dickinson NPPES

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

SHADEY DICKINSON (NPI 1790691459) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1790691459
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHADEY DICKINSON
Location Address1027 E BURNSIDE STPortland, OR 97214-1328
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400 · Fax (503) 239-8407
Phone(503) 239-8400
Fax(503) 239-8407
Sole ProprietorNo
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1790691459 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
1027 E BURNSIDE ST, Portland, OR 97214
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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.

MS. LISA DIANE WATTS DO
Family Medicine
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
JENNA M CHANTARA MSW, CADCII, QMHP
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
DR. JEFFREY BENTON HAYES MD
Family Medicine (Addiction Medicine)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
MELINDA TAFT
Counselor
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
DR. THOMAS TURNER MEYER M.D.
Psychiatry & Neurology (Psychiatry)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
BROOKE E JOHNSON
Counselor (Mental Health)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 202-8400
LINDSEY K NEELY
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
MISS KARA EDGE MSW
Social Worker (Clinical)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400

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 Shadey Dickinson's NPI number?

The NPI number for Shadey Dickinson is 1790691459. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Shadey Dickinson located?

Shadey Dickinson practices at 1027 E Burnside St, Portland, OR 97214. The listed phone number is (503) 239-8400.

What is Shadey Dickinson'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 Shadey Dickinson was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.