Shannon Schupp

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200542822RN Issued in OR

Practice address

706 SE Malden St
Portland, OR 97202-5908

Phone

(971) 344-7348

NPI assigned

Mar 19, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1134077787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SE MALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025908",
            "telephone_number": "971-344-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 SE MALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025908",
            "telephone_number": "971-344-7348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11611 NE Ainsworth Cir",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972209017",
            "country_code": "US",
            "telephone_number": "503-257-1732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUPP",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200542822RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl S Schuman, MD
• Wendy Schuman
• Jaime Schumann, RN
• Jack P Schunk, MD
• Paul Carl Schunk Jr., M.D.
• Katherine C Schurra, D.P.T
• Jessica E. Schurtman, MA, LPC
• Charmika Tamara Schuster, FNP
• Cressa Elizabeth Schuster, DPT
• Rosetta Schuster, QMHA

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.