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

Shannon K Fitzgerald

Individual provider Athletic Trainer · NPI 1073302352

Shannon K Fitzgerald is an Athletic Trainer in Beaverton, Oregon. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

4275 SW 148th Ave
Beaverton, OR 97078-2773
Phone: (503) 520-4700
Show map & directions

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

Additional practice locations (1)

  • 1793 Nw Kearney St, Portland, OR 97209-2321 — (650) 387-1712

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073302352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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