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

Kevin Shank

Individual provider Clinical Social Worker · NPI 1760867659

Kevin Shank is a Clinical Social Worker in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

33 NW Broadway
Portland, OR 97209-3580
Phone: (503) 944-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 — (503) 641-1475

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 23-11-30089 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence L17410 (OR)

Record details

NPI number1760867659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

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