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

John Rezende-Shalom

Individual provider Mental Health Counselor · NPI 1699437806

John Rezende-Shalom is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

33 NW Broadway
Portland, OR 97209-3580
Phone: (503) 228-7619
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 21-QMHA-R-1569 (OR)

Record details

NPI number1699437806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

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