Individual provider · Type 1 NPI

Patrick Walter Shannon

Peer Specialist · Boardman, OR

NPI number 1437977089 Active

Practice location

104 SW Kinkade
Boardman, OR 97818

Call (541) 481-2911 Map

Fax (541) 481-2006

Mailing address

PO Box 469
Heppner, OR 97836-0469

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 1437977089

Patrick Walter Shannon's National Provider Identifier is 1437977089, issued on Oct 2, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boardman, OR. The record was last updated on Oct 2, 2024.