Healthcare Provider Details

I. General information

NPI: 1134687254
Provider Name (Legal Business Name): SHAWN RENEE REECE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 SW HIGHLAND AVE STE C
REDMOND OR
97756-2625
US

IV. Provider business mailing address

2927 NW 17TH ST
REDMOND OR
97756-1182
US

V. Phone/Fax

Practice location:
  • Phone: 541-566-6649
  • Fax: 949-862-5160
Mailing address:
  • Phone: 541-566-6649
  • Fax: 949-862-5160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC6251
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: