NEW SEASON NPI 1417822875

NPI Information

  • NPI: 1417822875
  • Provider Name: NEW SEASON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 16420 SE DIVISION ST
    PORTLAND, OR
    ZIP 97236
  • Phone: (503) 762-3130

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NPI Details

NEW SEASON is an addiction (substance use disorder) counselor in Portland, OR. NEW SEASON NPI is 1417822875. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16420 SE DIVISION ST
PORTLAND, OR
ZIP 97236-987
Phone: (503) 762-3130
Fax: (503) 762-3199

The provider's authorized official is Preston A Shelton .
The authorized official title is Counselor and has the following contact phone number (971) 334-2044.

The enumeration date for this NPI number is 10/7/2025 and was last updated on 10/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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