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JEFFERY SHANNON
NPI 1265896021
Counselor - Mental Health in Portland, OR

Active since April 07, 2016
15208 SE TIBBETTS ST, PORTLAND, OR 97236(503) 760-0959(503) 761-0041 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffery Shannon NPPES

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

JEFFERY SHANNON (NPI 1265896021) is an individual mental health provider in Portland, Oregon and active in the NPI registry since April 2016. He maintains a secondary practice location in Tigard.

NPPES Registry Identity

NPI1265896021
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFFERY SHANNON
Location Address15208 SE TIBBETTS STPortland, OR 97236
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 760-0959
Fax(503) 761-0041
Sole ProprietorNo
Enumeration DateApril 7, 2016
Last NPPES UpdateMay 29, 2018
✔ NPI 1265896021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15208 SE TIBBETTS ST, Portland, OR 97236
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Secondary Practice Location 1

Location 18915 SW Center StTigard, OR 97223-6307 · Phone (503) 726-3740 · Fax (503) 726-3741

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDSAY L LIDDELL
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
KENT J CARPENTER
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
MOLLY PETERSEN
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
COLUMBIACARE SERVICES
Community Based Residential Treatment Facility, Mental Illness
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
JACQUELINE DOW
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
CHUOT MUTTHIANG
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
DURRELL J BOLDS
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
KATHERINE HARPER
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959

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 Jeffery Shannon's NPI number?

The NPI number for Jeffery Shannon is 1265896021. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Jeffery Shannon located?

Jeffery Shannon practices at 15208 SE Tibbetts St, Portland, OR 97236. The listed phone number is (503) 760-0959.

What is Jeffery Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeffery Shannon was last updated on May 29, 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.