Individual provider · Type 1 NPI

Shannon Vandepas, RN

Registered Nurse · Portland, OR

NPI number 1891611679 Active

Practice location

4805 NE Glisan St
Portland, OR 97213-2933

Call (844) 987-0491 Map

Mailing address

11119 SE Linwood Ave
Milwaukie, OR 97222-2744

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN61240712 (WA)
Registered Nurse Primary 163W00000X10044158 (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 1891611679

Shannon Vandepas, RN's National Provider Identifier is 1891611679, issued on Jun 26, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Jun 26, 2026.