SHANNON KATHLEEN ANASTASIADIS NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1912050360- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 5415 NE 38TH AVE, PORTLAND, OR, 972118009
- Phone
- (503) 735-5230
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
License: OR #200150083NP
Nurse Practitioner, Psych/Mental Health
Primary License: OR #202114832NP