DR. SHANNON BERRY


Address: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: 5034947500

DR. SHANNON BERRY (NPI# 1205253267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205253267
Entity Type Individual
Full Name DR. SHANNON BERRY
Credential M.D.
Practice Address 3181 Sw Sam Jackson Park Rd
Portland
OR 97239-3011
Practice Telephone 5034947500
Practice Fax Number 5034944997
Mailing Telephone 5034948211
Enumeration Date 2014-03-27
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine MD173846 OR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2111 Exchange St, Astoria, OR 971033329 5034948211

Other Providers SHANNON BERRY

NPI Name Taxonomy Address Enumeration
1720401714 Shannon D. Berry Speech-Language Pathologist 1231 Harbor River Dr, Memphis, TN 38103-8980 2014-01-27
1922141555 Shannon Lee Jett Berry Speech-Language Pathologist 218 N Florida St, Suite 3, Bushnell, FL 33513-6150 2007-02-14
1679174643 Shannon Berry Pharmacist 1712 E Ohio St, Clinton, MO 64735-2402 2020-11-05
1295057818 Shannon Berry Occupational Therapy Assistant 420 Gaffney Dr, Watertown, NY 13601-1823 2010-02-23
1770719668 Shannon Gammill Berry Emergency Medicine 1635 Marvel St, Coushatta, LA 71019-9022 2009-06-05
1649381245 Shannon Berry Advanced Practice Midwife 100 Brewster Blvd, Medical Staff Services, Camp Lejeune, NC 28547-2538 2006-08-31
1013909811 Shannon M Berry Internal Medicine 295 Posada Ln, Suite D, Templeton, CA 93465-4055 2005-08-17

Office Location

Street Address 3181 SW SAM JACKSON PARK RD
City PORTLAND
State OR
Zip Code 97239-3011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972506301 Jerris Robert Hedges Emergency Medicine 3181 Sw Sam Jackson Park Rd, # L-102, Portland, OR 97239-3011 2005-05-31
1114528486 Nathan Stencel Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-11-04
1073113064 Evan Mitchell Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-28
1629678834 Vanessa Davie Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-27
1952901480 Jackie Kim Sharpe Pharmacist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-26
1922607530 Leah Snyder Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-10-23
1932708740 Blake Beneville Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-10-22
1154920833 Isabelle Nguyen Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-22
1124627054 Musah N Iddrisu Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-21
1386242105 Wenelia Baghoomian Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1912361718 Bryce Edwards Emergency Medicine 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 2016-04-07
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1104210921 Elizabeth Hatfield Emergency Medicine 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 2015-03-19
1699171918 Stephen Boyer Emergency Medicine 3708 Sw Lyle Ct, Portland, OR 97221-3963 2014-11-13
1679991590 Meaghan Dehning Emergency Medicine 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 2014-03-29
1942647185 Jason F Hine Emergency Medicine E1 Clairmont Ct, Portland, ME 04103-4459 2013-05-29
1487900742 Aaron Vitells Emergency Medicine 2424 Ne 41st Ave, Portland, OR 97212-5423 2012-07-24
1073870895 Marcus Alyn Chiodo Emergency Medicine 10000 Se Main St Ste 40, Adventist Medical Center - The Pavilion, Portland, OR 97216-2461 2012-04-18
1184913147 Jerry L Lawrence Emergency Medicine 11705 Nw Timberview Ln, Apt 204, Portland, OR 97229-6659 2011-03-30
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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