I Am Shook LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

I AM SHOOK LLC

Practice address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Phone

(503) 272-1113

NPI assigned

Aug 15, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ethan Shook

Title

Manager

Phone

(626) 315-5799

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1194630186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17091",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972170091",
            "telephone_number": "503-272-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822",
            "telephone_number": "503-272-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM SHOOK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-315-5799"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.