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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY LISA SHELLEY PORTER, RN

Active

MARY LISA SHELLEY PORTER, RN is a Substance Abuse Psychiatric Nurse healthcare provider located in GRESHAM, Oregon. NPI 1902785744 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Psychiatric Nurse · GRESHAM, OR

Registration Details

NPI Number
1902785744
Provider Type
Individual
Gender
Female
NPI Issued
Aug 27, 2025 (1.0017251765198 yrs)
Last Updated
Aug 27, 2025
License
201243125RN (OR)

Practice Information

Address
4101 NE DIVISION ST
GRESHAM, OR, 970304617
Browse OR providers · Browse ZIP 97030
Phone
5035738663
Primary Specialty
Substance Abuse Psychiatric Nurse
163WP0809X

Other Substance Abuse Psychiatric Nurse Providers in GRESHAM, OR

Name Credential NPI
LENA MARLENE WITKOWSKI RN, QMHP 1982129151
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.