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Jeffery Shannon
NPI 1265896021 · Mental Health Counselor · Portland, OR
Jeffery Shannon is a Mental Health Counselor provider in Portland, OR (NPI 1265896021).
Provider details
- NPI number
- 1265896021
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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
15208 Se Tibbetts St
Portland, OR 97236
Phone: (503) 760-0959
Fax: (503) 761-0041
Street-level locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Additional practice locations (1)
- 8915 Sw Center StTigard, OR 97223-6307Phone: (503) 726-3740Fax: (503) 726-3741
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2018-05-29
Frequently asked questions
- What is Jeffery Shannon's NPI number?
- Jeffery Shannon's National Provider Identifier (NPI) is 1265896021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffery Shannon's specialty?
- Jeffery Shannon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jeffery Shannon located?
- Jeffery Shannon's practice location on file with NPPES is 15208 Se Tibbetts St, Portland, OR 97236.
- What is Jeffery Shannon's phone number?
- The practice phone number listed in the NPPES registry for Jeffery Shannon is (503) 760-0959.
- Is Jeffery Shannon's NPI active?
- Yes — Jeffery Shannon's NPI (1265896021) is active in the NPPES registry as of the last update on 2018-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.