Provider Demographics
NPI:1578451027
Name:SHINNERS, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SHINNERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JO
Other - Middle Name:
Other - Last Name:SHINNERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1447 NW 12TH AVE APT 227
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2663
Mailing Address - Country:US
Mailing Address - Phone:715-495-6417
Mailing Address - Fax:
Practice Address - Street 1:1447 NW 12TH AVE APT 227
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2663
Practice Address - Country:US
Practice Address - Phone:715-495-6417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health