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

Shannon Macminn

Individual provider Counselor · NPI 1891056057

Shannon Macminn is a Marriage and Family Therapist in Portland, Oregon. Qualified in 2016, 10 years ago. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891056057
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2012
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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