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

Individual provider Social Worker · NPI 1912276841

Nicholas Michael Shoesmith, QMHA is a Social Worker in Grants Pass, Oregon. Works from 2 locations. Licensed in Oregon.

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

1215 SW G St
Grants Pass, OR 97526
Phone: (541) 476-2373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Parry Center 3415 Se Powell Blvd, Portland, OR 97202 — (503) 234-9591

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (OR)
Social Worker Taxonomy 104100000X

Record details

NPI number1912276841
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHA
Sole proprietorNo
NPI enumeratedDecember 21, 2011
Last updated in NPPESFebruary 26, 2019

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