Active NPI
Shelby Diane Tuthill, M.S.
- Psychologist
- Lake Oswego, OR
National Provider Identifier
1790418655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3947
- Practice address
- 4800 Meadows Rd Ste 300
Lake Oswego, OR 97035-5277 - Phone
- (503) 776-0017
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 3947 | OR | |
| Counseling Psychologist | 103TC1900X | 3947 | OR | |
| Psychologist | 103T00000X | 3947 | OR | Primary |
Addresses
Primary practice location
4800 Meadows Rd Ste 300
Lake Oswego, OR 97035-5277
Mailing address
1411 SW Morrison St Ste 310
Portland, OR 97205-1945
Other practice location 1
3701 SE Milwaukie Ave Ste G
Portland, OR 97202-3835
Phone (971) 264-0952
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3947 | OR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgetown Psychotherapy LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hillsboro, OR
- NPI 1174343966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1790418655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 SW MORRISON ST STE 310",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MEADOWS RD STE 300",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355277",
"telephone_number": "503-776-0017"
}
],
"practiceLocations": [
{
"address_1": "3701 SE Milwaukie Ave Ste G",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972023835",
"country_code": "US",
"telephone_number": "971-264-0952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTHILL",
"first_name": "SHELBY",
"middle_name": "DIANE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OR",
"license": "3947",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OR",
"license": "3947",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.