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TILDEN MCDONALD JR. CRM/PSS
NPI 1821691668
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since November 16, 2020
355 NW DIVISION ST, GRESHAM, OR 97030(971) 225-6695(503) 231-1654 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2025, Jan 18, 2023, Nov 20, 2020 (3 updates tracked since 2020).

About Tilden Mcdonald Jr. Crm/pss NPPES

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

TILDEN MCDONALD JR. CRM/PSS (NPI 1821691668) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (20-CRM-067) and active in the NPI registry since November 2020. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1821691668
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTILDEN MCDONALD JR.Credential: CRM/PSS
Location Address355 NW DIVISION STGresham, OR 97030-5523
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (503) 621-2235
Phone(971) 225-6695
Fax(503) 231-1654
Sole ProprietorNo
Enumeration DateNovember 16, 2020
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1821691668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 20-CRM-067
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000004376 (OR)
355 NW DIVISION ST, Gresham, OR 97030
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Secondary Practice Location 1

Location 11631 SW Columbia StPortland, OR 97201-6025 · Phone (503) 231-2641 · Fax (503) 231-1654

Other Identifiers 1

Medicaid500787753OR

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 RAE SHIELDS CADC-R/CRM/PSS
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
MS. TARA JOELLE WALKER QMHP, MS
Counselor (Mental Health)
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
MELISSA A JONES CRM/PSS/QMHA-R
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
PRESTON FABRE PWS, CRM II
Peer Specialist
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 231-2641
KAYLEN ANNMARIE SCOTT PWS,CRM
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695
MR. DAVID MADISON HUMPHRIES CADC I/CRM II
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695
MRS. SHANNON LORRAINE LEWIS CRM
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 255-6695
JOLYNN DENISE SHAFFER CRM II/QMHA-R
Counselor (Addiction (Substance Use Disorder))
355 NW DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 225-6695

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 Tilden Mcdonald's NPI number?

The NPI number for Tilden Mcdonald is 1821691668. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Where is Tilden Mcdonald located?

Tilden Mcdonald practices at 355 NW Division St, Gresham, OR 97030. The listed phone number is (971) 225-6695.

What is Tilden Mcdonald'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 Tilden Mcdonald was last updated on January 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.