Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Victoria Modjeski, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1215561733

Shannon Victoria Modjeski, MOT, OTR/L is an Occupational Therapist in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

13333 SW 68th Pkwy
Tigard, OR 97223-9196
Phone: (503) 352-0240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 434200 (OR)

Record details

NPI number1215561733
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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