SHANNON M. GODDARD PA
NPI 1780961417
Physician Assistant - Medical in Portland, OR
About Shannon M. Goddard Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON M. GODDARD PA (NPI 1780961417) is an individual medical provider in Portland, Oregon, licensed in California (56072) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon M. Goddard Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORAdventist Health Portland
Acute Care Hospitals · Portland, OROther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Goddard's NPI number?
The NPI number for Shannon Goddard is 1780961417. It was assigned to this individual provider in the NPPES registry on November 9, 2011.
Where is Shannon Goddard located?
Shannon Goddard practices at 3181 SW Sam Jackson Park Rd # Op31, Portland, OR 97239. The listed phone number is (503) 494-6400.
What is Shannon Goddard's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shannon Goddard enrolled in Medicare?
Yes. Shannon Goddard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Shannon Goddard accept?
Health plans from Kaiser Permanente list Shannon Goddard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shannon Goddard affiliated with any hospitals?
According to CMS data, Shannon Goddard is affiliated with Ohsu Hospital And Clinics and Adventist Health Portland.
When was this NPI record last updated?
The NPPES record for Shannon Goddard was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Shannon M. Goddard, PA · NPI 1780961417
Medical physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 9, 2011.
## Identity
- **NPI:** 1780961417 (Entity type: Individual)
- **Enumerated:** November 9, 2011
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 56072 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD # OP31, Portland, OR 97239-3011
- **Phone:** (503) 494-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780961417) · Data from the CMS NPPES public registry.