Shannon Kathleen Anastasiadis in Portland - Pediatrics
Shannon Kathleen Anastasiadis - NPI 1912050360
Shannon Kathleen Anastasiadis is a Pediatrics in Portland, Oregon. Shannon Kathleen Anastasiadis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shannon Kathleen Anastasiadis is 1912050360. The last update date is 2022-02-09.
Shannon Kathleen Anastasiadis's current location address is 5415 Ne 38th Ave, Portland, Oregon. You can contact this provider via phone number 5037355230. The mailing address for Shannon Kathleen Anastasiadis is 5415 Ne 38th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Kathleen Anastasiadis |
|---|---|
| Address | 5415 Ne 38th Ave, Portland, Oregon |
| Phone Number | 5037355230 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1912050360 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2022-02-09 |
Provider Mailing Address Detail
| Address | 5415 Ne 38th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972118009 |
| Phone Number | 5037355230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 200150083NP |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique 10-digit identifier code issued to Shannon Kathleen Anastasiadis by the Centers for Medicare & Medicaid Services?
The Shannon Kathleen Anastasiadis has been assigned the NPI (National Provider Identifier) 1912050360 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Shannon Kathleen Anastasiadis's physical address?
The Shannon Kathleen Anastasiadis is physically located at 5415 Ne 38Th Ave, in the city of Portland, OR, with the postal code 972118009.
What is Shannon Kathleen Anastasiadis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon Kathleen Anastasiadis is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Shannon Kathleen Anastasiadis receive the assignment of its 1912050360 from the Centers for Medicare & Medicaid Services?
The Shannon Kathleen Anastasiadis was issued its 1912050360 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Shannon Kathleen Anastasiadis most recently updated or revised?
The information pertaining to Shannon Kathleen Anastasiadis, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-09.
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