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Contact Information

SHANNON M MILLIGAN, CN
916 SW KING AVE STE 101
PORTLAND, OR97205-1331
 Phone: 503-954-6677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for SHANNON M MILLIGAN · (Female)

NPI Number 1164287884
Status Active
Credentials CN
Entity Individual
Enumeration date 02/21/2024
Last updated 05/24/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OR License # BAP-E-10256316
  • WA License # 61480409
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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