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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.

SWAN GRACE MANDUJANO CRM/PSS/ CADC-R
NPI 1891410866
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since October 11, 2022
355 NW DIVISION ST, GRESHAM, OR 97030(503) 231-2641(503) 231-1654 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Oct 11, 2022 (2 updates tracked since 2022).

About Swan Grace Mandujano Crm/pss/ Cadc-r NPPES

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

SWAN GRACE MANDUJANO CRM/PSS/ CADC-R (NPI 1891410866) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (T-24-4328) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1891410866
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSWAN GRACE MANDUJANOCredential: CRM/PSS/ CADC-R
Location Address355 NW DIVISION STGresham, OR 97030-5523
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Phone(503) 231-2641
Fax(503) 231-1654
Sole ProprietorNo
Enumeration DateOctober 11, 2022
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1891410866 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
Licenses✔ Licensed in OR · T-24-4328✔ Licensed in OR · 22-CRM-957
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000106701 (OR)
355 NW DIVISION ST, Gresham, OR 97030
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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.

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
JAMES POSEY CRM
Counselor (Mental Health)
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 Swan Mandujano's NPI number?

The NPI number for Swan Mandujano is 1891410866. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Swan Mandujano located?

Swan Mandujano practices at 355 NW Division St, Gresham, OR 97030. The listed phone number is (503) 231-2641.

What is Swan Mandujano'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 Swan Mandujano was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.