Counselor, Mental Health
BLACK MEN & WOMEN IN TRAINING
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1588389563 · enumerated 2022-10-11 · record updated 2026-10-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: STEPHANIE WHITE, CEO · (503) 724-3725
Other names: SHA'DIEA INTEGRATED CARE
Addresses and phones
- Mailing address 2828 S WATER AVE, PORTLAND, OR, 97201-4861 (971) 342-0117 Fax (503) 296-2937 Google Maps Apple Maps OpenStreetMap
- Practice location 2828 S WATER AVE, PORTLAND, OR, 97201-4861 (971) 342-0117 Fax (503) 296-2937 Google Maps Apple Maps OpenStreetMap
Specialties
- Counselor, Mental Health 101YM0800X · Primary
- Chiropractor 111N00000X
- Mechanotherapist 172M00000X
- Integrative Medicine 202D00000X
- Clinic/Center, Multi-Specialty 261QM1300X
- Clinic/Center, Primary Care 261QP2300X
- Nurse Practitioner, Family 363LF0000X
- Nurse Practitioner, Psych/Mental Health 363LP0808X
- Nurse Practitioner, Primary Care 363LP2300X
In this directory
Locations and evidence
-
Practice location
PORTLAND, OR, 972014861
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.