Anastasiadis, Shannon Kathleen

Anastasiadis, Shannon Kathleen is an sole proprietor health care provider with primary practice located at 5415 Ne 38Th Ave , Portland OR 97211-8009. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Anastasiadis, Shannon Kathleen can be contacted via phone (503) 735-5230.

Contact Information

Primary practice address
5415 Ne 38Th Ave Portland OR 97211-8009
Phone: (503) 735-5230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 200150083NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202114832NP Oregon

Profile Details

NPI number 1912050360
LBN Legal business name Anastasiadis, Shannon Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Feb 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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