Active NPI
Shawntina Aletta Walker
- Counselor
- Portland, OR
National Provider Identifier
1548059892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5203
- Practice address
- 6601 NE 78TH CT Ste A3
Portland, OR 97218-2823 - Phone
- (971) 645-4806
- NPI assigned
- May 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5203 | OR | Primary |
Addresses
Primary practice location
6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Mailing address
312 NE Monroe St Apt 205
Portland, OR 97212-3091
Phone (503) 754-2098
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236 | Medicaid | DC | |
| 568946544 | Other | BCBS | |
| 5874 | Other | HEALTH PARTNERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5203 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746230400000",
"number": "1548059892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 NE MONROE ST APT 205",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123091",
"telephone_number": "503-754-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 NE 78TH CT STE A3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972182823",
"telephone_number": "971-645-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SHAWNTINA",
"middle_name": "ALETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-03",
"last_updated": "2025-05-03",
"certification_date": "2025-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "5203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "568946544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "5874",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6601 NE 78th Ct Ste A3",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972182823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.