Organization · Type 2 NPI
Shannon Anastasiadis Pmhnp-Bc LLC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1255279840
Active
Practice location
1827 NE 44th Ave Ste 315
Portland, OR 97213-1467
Mailing address
5415 NE 38th Ave
Portland, OR 97211-8009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255279840
Shannon Anastasiadis Pmhnp-Bc LLC's National Provider Identifier is 1255279840, issued on Mar 24, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Mar 24, 2026.