Active NPI 1184054710 Individual Practitioner Male Practitioner

David Madison Humphries , CADC I, CRM II

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

Professional Overview & Biography Verified Profile Summary

David Humphries, CADC I, CRM II 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 9712256695

Fax 5032311654

Associated Practice Facility / Clinic

🏢 Native American Rehabilitation Assoc Inc Facility NPI 1558112276

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: 2025-04-15

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OR 14-07-06

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 17-CRM-II-011

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500699779 (OR)

Medicaid State Provider ID

500730604 (OR)

Secondary Practice Locations

1631 Sw Columbia St

Portland, OR 972016025

Phone: 5032312641

Practice Associates & Co-Workers

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

40 Associated Practitioners

Amber Lewis , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1003450248

Deanna Shields , CADC-R, CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1003592759

CADCR, CRM, PSS

Jessica Spain , CADC I, QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1013430271

CADCI, QMHAR

Nicole Williams , CADC II, QMHA-I

Counselor - Mental Health

NPI 1013560713

CADCII, QMHAI

Andulia White Elk , CADCI

Counselor - Addiction (Substance Use Disorder)

NPI 1053302554

Melissa Jones , CRM, PSS, QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063177269

CRM, PSS, QMHAR

Career & Practice History Timeline

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

24 Historical Events

📍

Updated Practice Location April 15, 2025

Registered at 355 NW DIVISION ST, GRESHAM, OR 970305523 (Tel: 9712256695)

📍

Updated Business Mailing Address April 15, 2025

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

👤

Provider Name / Credentials Updated April 15, 2025

Recorded as DAVID HUMPHRIES, CADC I/CRM II

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Counselor (License #17-CRM-II-011 in OR)

👤

Provider Name / Credentials Updated January 26, 2021

Recorded as DAVID HUMPHRIES, CADC I/CRM II/PSS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2021

Counselor (License #14-07-06 in OR)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Counselor (License #17-PRC-011 in OR)

👤

Provider Name / Credentials Updated January 22, 2019

Recorded as DAVID HUMPHRIES, CADC I/CRM-PRC/PSS

✅

NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2018

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

📍

Updated Business Mailing Address February 06, 2018

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

👤

Provider Name / Credentials Updated February 06, 2018

Recorded as DAVID HUMPHRIES, CADC I/CRM/PSS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Counselor (License #13-CRM-069 in OR)

👤

Provider Name / Credentials Updated August 01, 2017

Recorded as DAVID HUMPHRIES, CADC I/CRM/PSS

📍

Updated Practice Location April 13, 2017

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

📍

Updated Business Mailing Address April 13, 2017

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

👤

Provider Name / Credentials Updated April 13, 2017

Recorded as DAVID HUMPHRIES, CADC I, CRM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Counselor (License #14-07-06 in OR)

✅

NPI Profile Active November 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2013

Registered at 948 NE 102ND AVE STE 101, PORTLAND, OR 972204064 (Tel: 5032570381)

📍

Updated Business Mailing Address November 18, 2013

Registered at 948 NE 102ND AVE STE 101, PORTLAND, OR 972204064 (Tel: 5032570381)

👤

Provider Name / Credentials Updated November 18, 2013

Recorded as DAVID HUMPHRIES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2013

Counselor

🟢

Initial NPI Registration & Enumeration November 18, 2013

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: 1184054710

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 18, 2013

Last Update: April 15, 2025

Sole Proprietor: No

Update or Correct Profile

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.