Mr. Shannon Lee Smith, PMHNP, MPH
Mr. Shannon Lee Smith, PMHNP, MPH is a Nurse Practitioner in Portland, Oregon. Qualified in 2011, 15 years ago. Practices with Oregon Health and Science University, a 94-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 15
- Licensed in
- OR
- In the registry since
- 2012
What do these letters mean?
Practice location Address checks out
619 NW 6th Ave Fl 3Portland, OR 97209-3964
Phone: (503) 988-5020
Fax: (503) 988-5022
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 201250082NP (OR) |
|---|
Record details
| NPI number | 1154686814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PMHNP , MPH |
| Sole proprietor | No |
| NPI enumerated | July 9, 2012 |
| Last updated in NPPES | November 26, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Oregon Health And Science University — 94 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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