Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON AUSTIN
ActiveNutrition, Education · SHERWOOD, OR
Registration Details
- NPI Number
- 1366901613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2019 (7.1370787818817 yrs)
- Last Updated
- Mar 17, 2019
Practice Information
- Address
-
25250 SW MEADOWBROOK LNSHERWOOD, OR, 971408493Browse OR providers · Browse ZIP 97140
- Phone
- 5035021262
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.