Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Shad, CRM, PSS

Individual provider Peer Specialist · NPI 1275114084

Jason Shad, CRM, PSS is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
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Practice location Address checks out

1312 SW Washington St
Portland, OR 97205-2327
Phone: (505) 535-1151
Fax: (503) 535-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 21-CRM-417 (OR)

Record details

NPI number1275114084
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM , PSS
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021

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