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

Jeremy Shawnte Ralls, CSWA

Individual provider Mental Health Counselor · NPI 1184456014

Jeremy Shawnte Ralls, CSWA is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184456014
Entity typeIndividual (Type 1)
GenderMale
Credentials CSWA
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Other providers in Portland