Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Deanna Rae Shields , CADCI, CRM, PSS

Counselor - Addiction (Substance Use Disorder) β€’ Gresham, OR

Active NPI 1003592759 Individual Practitioner Female Practitioner
Practice location in NPPES

355 Nw Division St
Gresham, OR 970305523

Call 5032312641 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.

Practice Location & Contact Primary Location

Practice Address

355 Nw Division St

Gresham, OR 970305523

Telephone 5032312641
Fax 5032311654
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.

NPI first issued

2023

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: NPI first issued

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, β€œDoes 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

86 active clinicians are listed under Counselor - Addiction (Substance Use Disorder) with a practice address in Gresham, OR (4,114 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 86 clinicians have the CMS telehealth indicator.

0% of these 86 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-10-08
Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR 26-04-11877
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR 23-CRM-1675
Peer Specialist

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR THW000106791

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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
500849905 (OR)
Medicaid ID
500822019 (OR)

Secondary Practice Locations

1631 Sw Coumbia St

Portland, OR 97201

Phone: 5032312641

Career & Practice History Timeline

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

14 Historical Events
🏒
Secondary Practice Location Registered October 08, 2026

Additional practice office at 1631 SW COUMBIA ST, PORTLAND, OR 97201

πŸ‘€
Provider Name / Credentials Updated October 08, 2026

Recorded as DEANNA SHIELDS, CADCI/CRM/PSS

πŸ‘€
Provider Name / Credentials Updated June 04, 2025

Recorded as DEANNA SHIELDS, CADC-R/CRM/PSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2025

Counselor (license number reported to NPPES: OR 23-CRM-1675)

πŸ“
Updated Practice Location December 03, 2024

Registered at 355 NW DIVISION ST, GRESHAM, OR 970305523 (Tel: 5032312641)

πŸ“
Updated Business Mailing Address December 03, 2024

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

πŸ‘€
Provider Name / Credentials Updated December 03, 2024

Recorded as DEANNA SHIELDS, CADC-R/CHW/CRM/PSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Counselor (license number reported to NPPES: OR T-24-3997)

βœ…
NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 27, 2023

Registered at 1631 SW COUMBIA ST, PORTLAND, OR 97201 (Tel: 5032312641)

πŸ“
Business Mailing Address (Initial Record) June 27, 2023

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

πŸ‘€
Provider Name / Credentials (Initial Record) June 27, 2023

Recorded as DEANNA SHIELDS, CHW/CRM/PSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Community Health Worker (license number reported to NPPES: OR THW000106791)

🟒
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1003592759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: October 08, 2026
Sole Proprietor: No

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.