Patrick Walter Shannon

Peer Specialist · Boardman, OR

Individual Active NPI

NPI number 1437977089

Practice location

104 SW Kinkade
Boardman, OR 97818
Phone
(541) 481-2911
Fax
(541) 481-2006

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NPI record

NPI
1437977089
Entity type
Individual (Type 1)
Enumeration date
October 2, 2024
Last updated
October 2, 2024
Certified
September 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Mailing address

PO Box 469
Heppner, OR 97836-0469
Phone
(541) 676-9161
Fax
(541) 676-5662

About Patrick Shannon

Patrick Walter Shannon is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 104 SW Kinkade, Boardman, OR 97818. The NPI number 1437977089 was assigned on October 2, 2024 and the record was last updated on October 2, 2024.

Frequently asked questions

What is the NPI number of Patrick Walter Shannon?

The NPI number is 1437977089.

What is the phone number of Patrick Shannon?

The phone number listed for the practice location is (541) 481-2911.

Where is Patrick Shannon located?

104 SW Kinkade, Boardman, OR 97818.

What is the taxonomy code for Patrick Shannon?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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