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

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1023366770

Shannon Thorum, MS, RD, LD is a Pediatric Nutrition Registered Dietitian in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-5257
Fax: (503) 494-3769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence LDD10144588 (OR)

Record details

NPI number1023366770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD
Sole proprietorNo
NPI enumeratedAugust 28, 2012
Last updated in NPPESAugust 28, 2012
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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