Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467646307 Individual Practitioner Male Practitioner

Frederick Francis Smith , CADC II

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

Professional Overview & Biography Verified Profile Summary

Frederick Smith, CADC 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 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: 2025-02-24
Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OR 16-P-11

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500757088 (OR)

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
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

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

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location February 24, 2025

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

📍
Updated Business Mailing Address February 24, 2025

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

👤
Provider Name / Credentials Updated June 15, 2020

Recorded as FREDERICK SMITH, CADC II

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Counselor (License #16-P-11 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Counselor (License #16-P-11U in OR)

📍
Updated Practice Location February 01, 2019

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

📍
Updated Business Mailing Address February 01, 2019

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

👤
Provider Name / Credentials Updated February 01, 2019

Recorded as FREDERICK SMITH, CADC I

NPI Profile Active September 04, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2007

Registered at 1321 SW WASHINGTON ST, PORTLAND, OR 972052328 (Tel: 5035351150)

📍
Updated Business Mailing Address September 04, 2007

Registered at PO BOX 3007, PORTLAND, OR 972083007 (Tel: 5035351150)

👤
Provider Name / Credentials Updated September 04, 2007

Recorded as FREDERICK SMITH, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2007

Counselor

🟢
Initial NPI Registration & Enumeration September 04, 2007

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: 1467646307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2007
Last Update: February 24, 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.