person
Shannon Kathleen Anastasiadis, NP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1912050360

Shannon Kathleen Anastasiadis is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Shannon Kathleen Anastasiadis practices in Portland, OR and has the professional credentials of NP. The NPI Number for Shannon Kathleen Anastasiadis is 1912050360 and holds a License No. 200150083NP (Oregon).

The current practice location address for Shannon Kathleen Anastasiadis is 5415 Ne 38Th Ave, Portland, OR and can be reached out via phone at 503-735-5230.

Location: 5415 Ne 38Th Ave, Portland, OR, 97211-8009
person
Provider Profile Details
NPI Number
1912050360
Provider Name
Shannon Kathleen Anastasiadis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5415 Ne 38Th Ave, Portland, OR, 97211-8009
Phone Number
503-735-5230
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5415 Ne 38Th Ave
City
State
Zip
97211-8009
Phone Number
503-735-5230
Fax Number
person
Provider Business Mailing Address Details
Address
5415 Ne 38Th Ave
City
State
Zip
97211-8009
Phone Number
503-735-5230
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
202114832NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200150083NP (Oregon)
Definition
Definition to come...
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