Shannon Thorum, MS, RD, LD - Dietitian in Portland, OR

Shannon Thorum, MS, RD, LD is a Dietitian, Registered - Nutrition, Pediatric based in Portland, Oregon. Shannon Thorum is licensed to practice in Oregon (license number LDD10144588) and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 418-5257.

NPI number for Shannon Thorum is 1023366770 and her current mailing address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023366770.

Contact Information

Shannon Thorum, MS, RD, LD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 418-5257
(503) 494-3769

Map and Direction




Healthcare Provider's Profile

Full NameShannon Thorum
GenderFemale
SpecialityDietitian, Registered - Nutrition, Pediatric
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023366770
  • Provider Enumeration Date: 08/28/2012
  • Last Update Date: 08/28/2012

Medical Identifiers

Medical identifiers for Shannon Thorum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023366770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1004XDietitian, Registered - Nutrition, Pediatric LDD10144588 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Thorum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Thorum, MS, RD, LD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 418-5257
Shannon Thorum, MS, RD, LD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 418-5257

Reviews and Comments


Dietitian, Registered in Portland, OR

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Mrs. April D Mitsch, RD
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Julie Marie Martin,
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Practice Location: 3530 Se 88th Ave, Portland, OR 97266
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Mary Ann Weinberg, RD, CNSD, LD
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Phone: 503-494-7597    
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