Shannon Kathleen Anastasiadis
NP | Nurse Practitioner - Pediatrics | 24+ years Exp
5415 Ne 38th Ave, Portland
Oregon, 97211-8009
503-735-5230
Shannon Kathleen Anastasiadis is a Portland, Oregon based nurse practitioner with 24 years of experience in Pediatrics. She completed her graduation in 2001. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shannon Kathleen Anastasiadis is 202114832NP for Psych/Mental Health in Oregon. Her current practice location is 5415 Ne 38th Ave, Portland. Patients can reach her at 503-735-5230. Shannon Kathleen Anastasiadis is NP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1912050360.
Shannon Kathleen Anastasiadis specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Shannon Kathleen Anastasiadis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shannon Kathleen Anastasiadis |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 24+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2001 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5415 Ne 38th Ave, Portland,
Oregon, 97211-8009 |
| Phone: | 503-735-5230 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7719012624 |
| Enrollment ID: | I20100317000756 |
| NPI Number: | 1912050360 |
| NPI Enumeration Date: | 19 Jan, 2007 |
| NPI Last Update On: | 09 Feb, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Kathleen Anastasiadis are as mentioned below.
| License Number | Specialization | State | Status | |
| 202114832NP | Psych/Mental Health | Oregon | Primary | |
| 200150083NP | Pediatrics | Oregon | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shannon Kathleen Anastasiadis is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mindful Support Services Inc (4981872561) | 137 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shannon Kathleen Anastasiadis
5415 Ne 38th Ave,
Portland, Oregon |
| Zip: | 97211-8009 |
| Phone Number: | 503-735-5230 |
Patients can reach Shannon Kathleen Anastasiadis at
5415 Ne 38th Ave, Portland, Oregon or can
call to book an appointment on 503-735-5230.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.