Individual provider · Type 1 NPI

Dustin A. Shadley

Peer Specialist · Medford, OR

NPI number 1841648516 Active

Practice location

140 S Holly Street
Medford, OR 97501-3113

Call (541) 774-8201 Map

Fax (541) 774-7979

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 1841648516

Dustin A. Shadley's National Provider Identifier is 1841648516, issued on Jun 2, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Jun 2, 2016.