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

Jill M Shaddy

Individual provider Social Worker · NPI 1366050635

Jill M Shaddy is a Social Worker in Clackamas, Oregon. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

12901 SE 97th Ave
Clackamas, OR 97015-7901
Phone: (503) 655-8045
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1366050635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2020
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address12901 Se 97th Ave, Clackamas, OR 97015-7901

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