Individual provider Active NPI

Maija Liisa Shogren

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1376983239
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201906064NP-PP Issued in OR
Practice address
847 NE 19TH Ave Ste 100
Portland, OR 97232
Phone
(503) 238-0769
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201906064NP-PP OR Primary

Addresses

Primary practice location

847 NE 19TH Ave Ste 100
Portland, OR 97232

Mailing address

PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769

Other practice location 1

13541 SE Market St
Portland, OR 97233-1752
Phone (503) 258-9734

Other practice location 2

18766 SE Stark St
Portland, OR 97233-5330
Phone (503) 243-2236

Other practice location 3

945 NE 165th Ave
Portland, OR 97230-6148
Phone (503) 408-8100

Other practice location 4

5023 NE Killingsworth St
Portland, OR 97218-1915
Phone (503) 284-4249

Other practice location 5

29197 SW Orleans Ave
Wilsonville, OR 97070-7388
Phone (503) 427-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201906064NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascadia Health Past Accepting new patients
Cascadia Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mshogren291574@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1376983239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459",
            "telephone_number": "503-238-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 NE 19TH AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "503-238-0769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13541 SE Market St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972331752",
            "country_code": "US",
            "telephone_number": "503-258-9734",
            "fax_number": "503-258-8892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18766 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972335330",
            "country_code": "US",
            "telephone_number": "503-243-2236",
            "fax_number": "503-243-2429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 NE 165th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972306148",
            "country_code": "US",
            "telephone_number": "503-408-8100",
            "fax_number": "503-408-8384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5023 NE Killingsworth St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972181915",
            "country_code": "US",
            "telephone_number": "503-284-4249",
            "fax_number": "503-284-6585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29197 SW Orleans Ave",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970707388",
            "country_code": "US",
            "telephone_number": "503-427-0182",
            "fax_number": "503-427-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOGREN",
        "first_name": "MAIJA",
        "middle_name": "LIISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201906064NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.