NPI 1164287884

Shannon Marie Milligan, CN

Practitioner Other Specialist/Technologist Portland, OR

Practice location

Address: 916 SW King Ave STE 101, Portland, OR 97205-1331
Phone: (503) 954-6677

Registered specialties (2)

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence BAP-E-10256316 (OR)

Other Specialist/Technologist, Other providers in Oregon →

Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 61480409 (WA)

Other Nutritionist providers in Oregon →

Registry record

NPI: 1164287884
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2024
Record last updated: 24 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.