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Shannon Schupp

NPI 1134077787 · on the registry since 2026

Practice

Address
706 Se Malden St
Portland, OR 97202
Phone
(971) 344-7348

Additional practice sites

  • 11611 Ne Ainsworth Cir, Portland, OR

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon