Individual provider · Type 1 NPI

Shannon Donovan Anderson, PA-C

Physician Assistant · Portland, OR

NPI number 1780832402 Active

Practice location

3303 SW Bond Ave
Portland, OR 97239-4501

Mailing address

3181 SW Sam Jackson Park Rd # OP32
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA153231 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780832402

Shannon Donovan Anderson, PA-C's National Provider Identifier is 1780832402, issued on Sep 6, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Feb 19, 2014.