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SHANNON P NICHOLS RN
NPI 1306442504
Registered Nurse - General Practice in Portland, OR

Active since December 11, 2020
4400 NE HALSEY ST, PORTLAND, OR 97213(503) 513-1300(503) 513-1310 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Dec 11, 2020 (2 updates tracked since 2020).

About Shannon P Nichols Rn NPPES

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

SHANNON P NICHOLS RN (NPI 1306442504) is an individual general practice provider in Portland, Oregon, licensed in Oregon (201041810RN) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1306442504
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameSHANNON P NICHOLSCredential: RN
Location Address4400 NE HALSEY STPortland, OR 97213-1545
Mailing Address4400 Ne Halsey StPortland, OR 97213-1545 · (503) 513-1300
Phone(503) 513-1300
Fax(503) 513-1310
Sole ProprietorNo
Enumeration DateDecember 11, 2020
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1306442504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in OR · 201041810RN
4400 NE HALSEY ST, Portland, OR 97213
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Other Providers at the Same Location NPPES 20

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

CLARA MIKHAEIL PHARMD
Pharmacist (Ambulatory Care)
4400 NE HALSEY ST, BUILDING 2 SUITE 490
PORTLAND, OR 97213
Multnomah County (503) 893-6900
TEODORA FETEA RN
Registered Nurse (Ambulatory Care)
4400 NE HALSEY ST
PORTLAND, OR 97213
Multnomah County (971) 369-0571
DR. HEIDI L CHINWUBA PHARMD
Pharmacist (Pharmacotherapy)
4400 NE HALSEY ST, 4TH FLOOR
PORTLAND, OR 97213
Multnomah County (503) 893-6900
MARISA GILLASPIE AZIZ CNS
Clinical Nurse Specialist
4400 NE HALSEY ST
PORTLAND, OR 97213
Multnomah County (541) 610-3346
PROVIDENCE HEALTH & SERVICE - OREGON
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
4400 NE HALSEY ST, BUILDING 1, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
ANDREANA ROCHELLE JONES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE HALSEY ST, BLDG 1, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
CYNTHIA MEDRANO PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE HALSEY ST, BLDG 1, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-6556
DR. MATHEW SCOTT GREENBERG MD
Pathology (Anatomic Pathology & Clinical Pathology)
4400 NE HALSEY ST, BLDG #3 PATHOLOGY AND LABORATORY
PORTLAND, OR 97213
Multnomah County (503) 893-7757

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 Nichols's NPI number?

The NPI number for Shannon Nichols is 1306442504. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Shannon Nichols located?

Shannon Nichols practices at 4400 NE Halsey St, Portland, OR 97213. The listed phone number is (503) 513-1300.

What is Shannon Nichols's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Shannon Nichols was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.