David Madison Humphries , CADC I, CRM II

Counselor - Addiction (Substance Use Disorder) • Gresham, OR

Active NPI 1184054710 Individual Practitioner Male Practitioner

Practice location in NPPES

355 Nw Division St
Gresham, OR 970305523

Call 9712256695 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

David Humphries is listed in NPPES under Counselor - Addiction (Substance Use Disorder).
NPI assigned on November 18, 2013; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

355 Nw Division St

Gresham, OR 970305523

Telephone 9712256695

Fax 5032311654

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Native American Rehabilitation Assoc Inc Facility NPI 1558112276

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Counselor - Addiction (Substance Use Disorder): NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

81 active clinicians are listed under Counselor - Addiction (Substance Use Disorder) with a practice address in Gresham, OR (4,040 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 81 clinicians have the CMS telehealth indicator.

0% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-15

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR 14-07-06

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR 17-CRM-II-011

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID

500699779 (OR)

Medicaid ID

500730604 (OR)

Secondary Practice Locations

1631 Sw Columbia St

Portland, OR 972016025

Phone: 5032312641

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

24 Historical Events

📍

Updated Practice Location April 15, 2025

Registered at 355 NW DIVISION ST, GRESHAM, OR 970305523 (Tel: 9712256695)

📍

Updated Business Mailing Address April 15, 2025

Registered at 211 SE CARUTHERS ST, PORTLAND, OR 972144502 (Tel: 5032241044)

👤

Provider Name / Credentials Updated April 15, 2025

Recorded as DAVID HUMPHRIES, CADC I/CRM II

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Counselor (license number reported to NPPES: OR 17-CRM-II-011)

👤

Provider Name / Credentials Updated January 26, 2021

Recorded as DAVID HUMPHRIES, CADC I/CRM II/PSS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2021

Counselor (license number reported to NPPES: OR 14-07-06)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Counselor (license number reported to NPPES: OR 17-PRC-011)

👤

Provider Name / Credentials Updated January 22, 2019

Recorded as DAVID HUMPHRIES, CADC I/CRM-PRC/PSS

✅

NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2018

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

📍

Updated Business Mailing Address February 06, 2018

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤

Provider Name / Credentials Updated February 06, 2018

Recorded as DAVID HUMPHRIES, CADC I/CRM/PSS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Counselor (license number reported to NPPES: OR 13-CRM-069)

👤

Provider Name / Credentials Updated August 01, 2017

Recorded as DAVID HUMPHRIES, CADC I/CRM/PSS

📍

Updated Practice Location April 13, 2017

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

📍

Updated Business Mailing Address April 13, 2017

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤

Provider Name / Credentials Updated April 13, 2017

Recorded as DAVID HUMPHRIES, CADC I, CRM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Counselor (license number reported to NPPES: OR 14-07-06)

✅

NPI Profile Active November 18, 2013

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) November 18, 2013

Registered at 948 NE 102ND AVE STE 101, PORTLAND, OR 972204064 (Tel: 5032570381)

📍

Business Mailing Address (Initial Record) November 18, 2013

Registered at 948 NE 102ND AVE STE 101, PORTLAND, OR 972204064 (Tel: 5032570381)

👤

Provider Name / Credentials (Initial Record) November 18, 2013

Recorded as DAVID HUMPHRIES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2013

Counselor

🟢

Initial NPI Registration & Enumeration November 18, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184054710

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 18, 2013

Last Update: April 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Se Caruthers St

Portland, OR 972144502

Phone: 5032241044

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.