Individual provider · Type 1 NPI

Byron Mitchell Shock

Peer Specialist · Ontario, OR

NPI number 1356982466 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Call (541) 212-5245 Map

Mailing address

1059 SW 2nd Ave
Ontario, OR 97914-2120

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 1356982466

Byron Mitchell Shock's National Provider Identifier is 1356982466, issued on Oct 1, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ontario, OR. The record was last updated on Oct 1, 2019.