Individual provider Active NPI

Geenie Yourshaw

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1306722616
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10615 SE Cherry Blossom Dr Ste 250
Portland, OR 97216-3137
Phone
(971) 373-4041
Fax
(971) 373-5285
NPI assigned
Aug 12, 2025
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X OR Primary

Addresses

Primary practice location

10615 SE Cherry Blossom Dr Ste 250
Portland, OR 97216-3137

Mailing address

10615 SE Cherry Blossom Dr Ste 250
Portland, OR 97216-3137
Phone (971) 373-4041

Other names 1

  • Georgina Yourshaw Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Within Counseling Clinical CurrentSince Aug 17, 2025 Accepting new patients

Locations

10615 SE Cherry Blossom Dr
Ste 250
Portland, OR 97216
Phone (971) 373-4041

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1306722616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 SE CHERRY BLOSSOM DR STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163137",
            "telephone_number": "971-373-4041",
            "fax_number": "971-373-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 SE CHERRY BLOSSOM DR STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163137",
            "telephone_number": "971-373-4041",
            "fax_number": "971-373-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOURSHAW",
        "first_name": "GEENIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGINA",
            "last_name": "YOURSHAW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.