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

Individual provider Mental Health Counselor · NPI 1407206394

Killian Drake Shields, QMHP is a Mental Health Counselor in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1650 NE 32nd Ave Apt 418
Portland, OR 97232-3454
Phone: (541) 340-9016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 — (541) 883-1030

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1407206394
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHP
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022

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