Phyllis Deshun Hursey

MD | Counselor | 36+ years Exp


  1206 Se 11th Ave, Portland
     Oregon, 97214-3601
  503-389-1166    503-389-1161 Maps & Directions
Phyllis Deshun Hursey is a Portland, Oregon based counselor with 36 years of experience in Counselor. She completed her graduation from Howard University College Of Medicine in 1989. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Phyllis Deshun Hursey is MD26240 for Family Medicine in Oregon. Her current practice location is 1206 Se 11th Ave, Portland. Patients can book an appointment with her at 503-389-1166.
Phyllis Deshun Hursey is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Phyllis Deshun Hursey speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Phyllis Deshun Hursey
Specialization: Counselor
Gender:Female
Credentials: MD
Experience: 36+ years
Medical School Attended:Howard University College Of Medicine
Graduation Year:1989
Accepts Medicare Assignment:Yes
Practice Address:1206 Se 11th Ave, Portland,
Oregon, 97214-3601
Phone:503-389-1166
Fax:503-389-1161
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7113936972
Enrollment ID: I20060406000445
NPI Number: 1427029537
NPI Enumeration Date: 27 Jan, 2006
NPI Last Update On: 08 Dec, 2021

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phyllis Deshun Hursey are as mentioned below.
License NumberSpecializationStateStatus
MD26240Family Medicine OregonPrimary
MD26240Addiction (Substance Use Disorder) Counselor OregonSecondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Phyllis Deshun Hursey is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Jd Health And Wellness Center (3274767173)2
Other Medical Identifiers:
Other legacy medical identifiers associated with Phyllis Deshun Hursey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
MD26240OtherOregonLICENCE
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS She does not participate in the Physician Quality Reporting System Incentive Program.
EHR She does not participate in the Electronic Health Record Incentive Program.
MHI She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 13215 Se Mill Plain Blvd Ste C8,
Vancouver, Washington
Zip: 98684-6999
Phone Number: 503-269-2409
Fax Number: 503-389-1161
Patients can reach Phyllis Deshun Hursey at 1206 Se 11th Ave, Portland, Oregon or can call to book an appointment on 503-389-1166.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.

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