Individual provider · Type 1 NPI

Shana R. Green, PMHNP-BC/ ANP-BC

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1861761207 Active

Practice location

3930 SE Division St
Portland, OR 97202-1643

Mailing address

1400 SW 5th Ave
Portland, OR 97201-5537

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201150173NP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1861761207

Shana R. Green, PMHNP-BC/ ANP-BC's National Provider Identifier is 1861761207, issued on Dec 14, 2011. 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 Oct 15, 2026.