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SHANNON C KENNEDY
NPI 1477849875
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since June 23, 2011
1312 SW WASHINGTON ST, PORTLAND, OR 97205(503) 535-1150 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shannon C Kennedy NPPES

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

SHANNON C KENNEDY (NPI 1477849875) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1477849875
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON C KENNEDY
Location Address1312 SW WASHINGTON STPortland, OR 97205-2327
Mailing AddressPo Box 3007Portland, OR 97208-3007
Phone(503) 535-1150
Sole ProprietorNo
Enumeration DateJune 23, 2011
✔ NPI 1477849875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1312 SW WASHINGTON ST, Portland, OR 97205
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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.

MS. HAYLEY MOORE
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. JACOB PERRY MA
Counselor
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
RALEIGH CRONRATH
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
NICOLE SWANSON LPN
Substance Abuse Rehabilitation Facility
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. ANTHONY LAMBRICHTS HAUCK CACD II
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1191
MRS. LINDSEY T MOSLEY
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
EDITH YVONNE ROBERTS REGISTERED NURSE
Registered Nurse
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MARANDA RAE BRAMBORA CRM
Peer Specialist
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1186

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 Kennedy's NPI number?

The NPI number for Shannon Kennedy is 1477849875. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Shannon Kennedy located?

Shannon Kennedy practices at 1312 SW Washington St, Portland, OR 97205. The listed phone number is (503) 535-1150.

What is Shannon Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Kennedy was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.