Individual provider · Type 1 NPI

Shane Harris Michael Roberts

Peer Specialist · Eugene, OR

NPI number 1336757111 Active

Practice location

2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1336757111

Shane Harris Michael Roberts's National Provider Identifier is 1336757111, issued on Jul 17, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Eugene, OR. The record was last updated on Dec 20, 2021.