Individual provider · Type 1 NPI
Shannon Kathleen Anastasiadis, NP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1912050360
Active
Practice location
5415 NE 38th Ave
Portland, OR 97211-8009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 200150083NP (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202114832NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912050360
Shannon Kathleen Anastasiadis, NP's National Provider Identifier is 1912050360, issued on Jan 19, 2007. 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 Feb 9, 2022.