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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS SHELBY WILSON QMHP
NPI 1841720752
Counselor - Mental Health in Portland, OR

Active since June 13, 2017
703 NE HANCOCK ST, PORTLAND, OR 97212(503) 230-9875(503) 331-3441 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Dec 11, 2019, Jun 13, 2017 (3 updates tracked since 2017).

About Miss Shelby Wilson Qmhp NPPES

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

MISS SHELBY WILSON QMHP (NPI 1841720752) is an individual mental health provider in Portland, Oregon, licensed in Oregon (26-QMHP-R-4543) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1841720752
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS SHELBY WILSONCredential: QMHP
Location Address703 NE HANCOCK STPortland, OR 97212-3955
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (971) 217-9008 · Fax (971) 260-0355
Phone(503) 230-9875
Fax(503) 331-3441
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1841720752 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 · 26-QMHP-R-4543
703 NE HANCOCK ST, Portland, OR 97212
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.

HAJJAR A ALTURKY RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (503) 230-9875
SOPHIA DINH RN
Registered Nurse
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (503) 230-9875
RUTH ANNE MCGOVERN NP
Nurse Practitioner (Family)
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (503) 230-9875
LLOYD D JENNINGS RN
Registered Nurse
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (503) 230-9875
MADISON ROSE JONES QMPH-R
Counselor (Mental Health)
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (503) 230-9875
RUBY ALEXANDRA ACKERMANN CHW
Community Health Worker
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (503) 230-9875
JEFFREY JOHN PHARMACY TECHNICIAN
Pharmacy Technician
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (971) 386-2062
SHANNON DENEEN QMHP-R
Counselor (Mental Health)
703 NE HANCOCK ST
PORTLAND, OR 97212
Multnomah County (503) 230-9875

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 Shelby Wilson's NPI number?

The NPI number for Shelby Wilson is 1841720752. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Shelby Wilson located?

Shelby Wilson practices at 703 NE Hancock St, Portland, OR 97212. The listed phone number is (503) 230-9875.

What is Shelby Wilson'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 Shelby Wilson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.