Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shandra Nicole Shultz, CADC-R, CRM, PSS

Individual provider Counselor · NPI 1124915426

Mrs. Shandra Nicole Shultz, CADC-R, CRM, PSS is a Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
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Practice location Address checks out

3716 NE Mlk Jr Blvd
Portland, OR 97212-1111
Phone: (503) 288-8066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence T-25-5231 (OR)

Record details

NPI number1124915426
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-R , CRM , PSS
Sole proprietorYes
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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