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

Individual provider Pediatric Nurse Practitioner · NPI 1912050360

Shannon Kathleen Anastasiadis, NP is a Pediatric Nurse Practitioner in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5415 NE 38th Ave
Portland, OR 97211-8009
Phone: (503) 735-5230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202114832NP (OR)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 200150083NP (OR)

Record details

NPI number1912050360
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

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