IndividualActive
Shannon Schupp
NPI 1134077787 · Registered Nurse · Portland, OR
Provider details
- NPI number
- 1134077787
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 200542822RN (OR)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
706 Se Malden St
Portland, OR 97202-5908
Phone: (971) 344-7348
Street-level locationGet directions
Mailing address
706 Se Malden St
Portland, OR 97202-5908
Additional practice locations (1)
- 11611 Ne Ainsworth CirPortland, OR 97220-9017Phone: (503) 257-1732
Registry dates
- Enumerated
- 2026-03-19
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.