Individual provider · Type 1 NPI

Shane Thomas Branson

Peer Specialist · Ridgefield, WA

NPI number 1508760141 Active

Practice location

21810 NE 37th Ave
Ridgefield, WA 98642-7747

Call (360) 687-8555 Map

Mailing address

12014 NW 19th Ct
Vancouver, WA 98685-2475

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 1508760141

Shane Thomas Branson's National Provider Identifier is 1508760141, issued on Oct 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ridgefield, WA. The record was last updated on Oct 6, 2026.