Provider Demographics
NPI:1184124653
Name:HOUSTON, SHELBY LAYNE (MC, MPH, NCC)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:LAYNE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:MC, MPH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 NE EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-3821
Mailing Address - Country:US
Mailing Address - Phone:541-961-1102
Mailing Address - Fax:
Practice Address - Street 1:5807 NE EVERETT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-3821
Practice Address - Country:US
Practice Address - Phone:541-961-1102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health