Shannon Lofstrom

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

09003099LPN Issued in OR

Practice address

324 NW Davis St
Portland, OR 97209-3925

Phone

(503) 226-2203

NPI assigned

Oct 30, 2017

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1902318074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 SW MAYO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972231303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NW DAVIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093925",
            "telephone_number": "503-226-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFSTROM",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "09003099LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Loerzel, LCSW
• Priyadarshani Florence Loess, PH.D.
• Jeremy Loew, ATC
• Lisa Michelle Loewenthal, LCSW
• Whitney Loey
• Carissa Loft
• Ethan Lofton
• Steven Lofton
• Cindy Logan, CADC-R
• Deon F Logan, BA

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.