IndividualActive
Patrick Shannon
NPI 1437977089 · Peer Specialist · Boardman, OR
Provider details
- NPI number
- 1437977089
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
104 Sw Kinkade
Boardman, OR 97818
Phone: (541) 481-2911
Fax: (541) 481-2006
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 469
Heppner, OR 97836-0469
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2024-10-02
- Certified
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.