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

Individual provider Counselor · NPI 1477847077

Jonathan Taylor Shields, QMHA is a Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

847 NE 19th Ave
Portland, OR 97232-2684
Phone: (971) 282-5901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X
Counselor Taxonomy 101Y00000X · Licence 101Y00000X (OR)

Record details

NPI number1477847077
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHA
Sole proprietorNo
NPI enumeratedJune 1, 2011
Last updated in NPPESFebruary 23, 2015

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