Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003592759 Individual Practitioner Female Practitioner

Deanna Rae Shields , CADC-R, CRM, PSS

Counselor - Addiction (Substance Use Disorder) • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Deanna Shields, CADC-R, CRM, PSS is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 355 NW DIVISION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

355 Nw Division St

Gresham, OR 970305523

Telephone 5032312641
Fax 5032311654
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
83 Specialists

Practicing in Gresham, OR (4216 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-04
Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OR T-24-3997

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 23-CRM-1675

Definition to come...

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License OR THW000106791

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500849905 (OR)
Medicaid State Provider ID
500822019 (OR)

Secondary Practice Locations

1631 Sw Coumbia St

Portland, OR 97201

Phone: 5032312641

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Donna Turquoise , QMHP-C

Counselor - Mental Health

NPI 1003103359

QMHPC

Amber Lewis , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1003450248
Jessica Spain , CADC I, QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1013430271

CADCI, QMHAR

Tara Walker , QMHP, MS

Counselor - Mental Health

NPI 1013471549

Qualified Mental Health Professional, Master of Science

Nicole Williams , CADC II, QMHA-I

Counselor - Mental Health

NPI 1013560713

CADCII, QMHAI

Willamette Johnson , QMHA-II

Counselor - Mental Health

NPI 1053190835

QMHAII

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated June 04, 2025

Recorded as DEANNA SHIELDS, CADC-R/CRM/PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2025

Counselor (License #23-CRM-1675 in OR)

📍
Updated Practice Location December 03, 2024

Registered at 355 NW DIVISION ST, GRESHAM, OR 970305523 (Tel: 5032312641)

📍
Updated Business Mailing Address December 03, 2024

Registered at 211 SE CARUTHERS ST, PORTLAND, OR 972144502 (Tel: 5032241044)

👤
Provider Name / Credentials Updated December 03, 2024

Recorded as DEANNA SHIELDS, CADC-R/CHW/CRM/PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Counselor (License #T-24-3997 in OR)

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2023

Registered at 1631 SW COUMBIA ST, PORTLAND, OR 97201 (Tel: 5032312641)

📍
Updated Business Mailing Address June 27, 2023

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as DEANNA SHIELDS, CHW/CRM/PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Community Health Worker (License #THW000106791 in OR)

🟢
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003592759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: June 04, 2025
Sole Proprietor: No

Mailing Address

211 Se Caruthers St

Portland, OR 972144502

Phone: 5032241044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.