Individual provider · Type 1 NPI

Diane Shine

Peer Specialist · Medford, OR

NPI number 1619446192 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 326-7228 Map

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 1619446192

Diane Shine's National Provider Identifier is 1619446192, issued on Nov 14, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Nov 14, 2018.