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NICOLE SHAW
NPI 1801253703
Counselor - Mental Health in Portland, OR

Active since January 22, 2016
847 NE 19TH AVE, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Shaw NPPES

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

NICOLE SHAW (NPI 1801253703) is an individual mental health provider in Portland, Oregon and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1801253703
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE SHAW
Location Address847 NE 19TH AVEPortland, OR 97232
Mailing AddressPo Box 8459Portland, OR 97207
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateJanuary 22, 2016
✔ NPI 1801253703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
847 NE 19TH AVE, Portland, OR 97232
Open in Google Maps ↗

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.

DEANNA GOLD M.A.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 891-9937
VALERIY IGUMNOV RN
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
HEAVEN WOODS
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769
MR. DEREK SUN
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
NATALIE TAYLOR
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
ANDREW VOGLER
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
SHANA AXTHELM
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 760-9606
JOSEPH WARREN LASAC
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Nicole Shaw's NPI number?

The NPI number for Nicole Shaw is 1801253703. It was assigned to this individual provider in the NPPES registry on January 22, 2016.

Where is Nicole Shaw located?

Nicole Shaw practices at 847 NE 19th Ave, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Nicole Shaw'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 Nicole Shaw was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.