Individual provider · Type 1 NPI

Shane Dean Stottlemire

Peer Specialist · Bend, OR

NPI number 1609737170 Active

Practice location

63311 Jamison St
Bend, OR 97703-8288

Call (541) 585-7210 Map

Fax (541) 585-7209

Mailing address

422 NE Alpenview Ln
Bend, OR 97701-5096

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 1609737170

Shane Dean Stottlemire's National Provider Identifier is 1609737170, issued on Nov 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Nov 24, 2025.