Individual provider · Type 1 NPI
Shannon B. Douglas, RN
Registered Nurse · Portland, OR
Practice location
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Mailing address
1030 NW 12th Ave Apt 130
Portland, OR 97209-2840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 201908910RN (OR) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1477425916
Shannon B. Douglas, RN's National Provider Identifier is 1477425916, issued on Sep 23, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Sep 23, 2025.