IndividualActive
Shannon Pernetti, ANALYST, MINISTER
NPI 1336381565 · Psychoanalyst · Portland, OR
Provider details
- NPI number
- 1336381565
- Entity type
- Individual
- Primary specialty
- PsychoanalystBehavioral Health & Social Service Providers
- Credential
- ANALYST, MINISTER
- Sex
- Female
- Sole proprietor
- No
Practice location
407 Ne 12th Ave
Suite 101
Portland, OR 97232
Phone: (503) 234-1493
Fax: (503) 234-7220
Mailing address
407 Ne 12th Ave
Portland, OR 97232
Registry dates
- Enumerated
- 2009-04-02
- Last updated
- 2009-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.