Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Riegelhaupt-Kamrin Shannon, LMFT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750727483

Jacqueline Riegelhaupt-Kamrin Shannon, LMFT is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2013
Specialties on file
4
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

313 NE 79th Ave
Portland, OR 97213-7007
Phone: (619) 674-9525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence T1773 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20-R-29 (OR)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 116706 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1750727483
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedMay 21, 2013
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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