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

Mr. Shaun Michael Vallery

Individual provider Mental Health Counselor · NPI 1164096715

Mr. Shaun Michael Vallery is a Mental Health Counselor in McMinnville, Oregon. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

435 NE Evans St Ste A
McMinnville, OR 97128-4635
Phone: (541) 201-3973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 58646 McNulty Way, Saint Helens, OR 97051-6210 — (503) 397-5211

Specialties & licences

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

Record details

NPI number1164096715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024
Mailing address435 Ne Evans St Ste A, McMinnville, OR 97128-4635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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