Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffery Shannon

Individual provider Mental Health Counselor · NPI 1265896021

Jeffery Shannon is a Mental Health Counselor in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

15208 SE Tibbetts St
Portland, OR 97236
Phone: (503) 760-0959
Fax: (503) 761-0041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8915 Sw Center St, Tigard, OR 97223-6307 — (503) 726-3740

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1265896021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESMay 29, 2018

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