Patrick R Shendo, QMHA-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

23-QMHA-R-4696 Issued in OR

Practice address

1438 SE Division St
Portland, OR 97202-1140

Phone

(971) 261-0544

NPI assigned

Nov 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1962277681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SE CARUTHERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144502",
            "telephone_number": "503-224-1044",
            "fax_number": "503-621-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021140",
            "telephone_number": "971-261-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENDO",
        "first_name": "PATRICK",
        "middle_name": "R",
        "credential": "QMHA-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "23-QMHA-R-4696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Shen, M.D.
• Irving Shen, M.D.
• Jian Shen, M.D.
• Phoebe Shen, LICSW
• Shena Vander Ploeg ND PC
• Maureen Shenker, PA-C
• Rivfka Shenoy
• Laurie Shepard-Glenn, LMT
• Kirk M Shepard, LPC
• Terrence Shepard

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

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