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

Shannon Marie Milligan, CN

Individual provider Nutritionist · NPI 1164287884

Shannon Marie Milligan, CN is a Nutritionist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

916 SW King Ave Ste 101
Portland, OR 97205-1331
Phone: (503) 954-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence BAP-E-10256316 (OR)
Nutritionist Taxonomy 133N00000X · Licence 61480409 (WA)

Record details

NPI number1164287884
Entity typeIndividual (Type 1)
GenderFemale
Credentials CN
Sole proprietorYes
NPI enumeratedFebruary 21, 2024
Last updated in NPPESMay 24, 2025
Certification dateMay 24, 2025

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