Frederick Shannon
Frederick Shannon is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2026
Practice location Address checks out
2130 SW Jefferson St Ste 200Portland, OR 97201-7710
Phone: (971) 266-6910
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence A824721 (OR) |
|---|
Record details
| NPI number | 1245168657 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2026 |
| Last updated in NPPES | May 13, 2026 |
| Certification date | May 13, 2026 |
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