Organization
SHANNON ANASTASIADIS PMHNP-BC LLC
Active
Other names
Anastasiadis Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ANASTASIADIS PHMNP-BC (OWNER)
(503) 735-5230
Entity
Organization
Contact information
Practice address
1827 NE 44TH AVE STE 315, PORTLAND, OR 97213-1467
(503) 735-5230
Mailing address
5415 NE 38TH AVE, PORTLAND, OR 97211-8009
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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