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MR. SHANNON RAY DITTLER RN
NPI 1255831483
Registered Nurse in Portland, OR

Active since February 14, 2018
4232 NE 62ND AVE, PORTLAND, OR 97218(971) 275-3186 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Shannon Ray Dittler Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANNON RAY DITTLER RN (NPI 1255831483) is an individual registered nurse in Portland, Oregon, licensed in Oregon (200642863RN) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1255831483
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. SHANNON RAY DITTLERCredential: RN
Location Address4232 NE 62ND AVEPortland, OR 97218-3204
Mailing Address4232 Ne 62nd AvePortland, OR 97218-3204 · (971) 275-3186
Phone(971) 275-3186
Sole ProprietorYes
Enumeration DateFebruary 14, 2018
✔ NPI 1255831483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in OR · 200642863RN
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
4232 NE 62ND AVE, Portland, OR 97218
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Dittler's NPI number?

The NPI number for Shannon Dittler is 1255831483. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Shannon Dittler located?

Shannon Dittler practices at 4232 NE 62nd Ave, Portland, OR 97218. The listed phone number is (971) 275-3186.

What is Shannon Dittler's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Shannon Dittler was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.