Individual provider · Type 1 NPI

Shannon Lee De Angelis

Peer Specialist · Bend, OR

NPI number 1851152300 Active

Practice location

548 SW 13th St
Bend, OR 97702-3184

Mailing address

20295 Mariner Dr
Bend, OR 97703-7069

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 1851152300

Shannon Lee De Angelis's National Provider Identifier is 1851152300, issued on Jan 22, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Jan 22, 2024.