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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY WHITEHEAD

Active

SHELLY WHITEHEAD is a Peer Specialist healthcare provider located in PENDLETON, Oregon. NPI 1073334025 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · PENDLETON, OR

Registration Details

NPI Number
1073334025
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2024 (1.8215785814216 yrs)
Last Updated
Jan 22, 2026
Licenses
24-CRM-4013 (OR)
T-26-6330 (OR)

Practice Information

Address
200 SE HAILEY AVE STE 204
PENDLETON, OR, 978013072
Browse OR providers · Browse ZIP 97801
Phone
5416634104
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in PENDLETON, OR

Name Credential NPI
SHELLY ROSE MINTHORN 1386009769
SIERRA L QUAEMPTS 1417312877
AARON VANCE NOISEY 1831559780
JSHON CAMILLE THOMPSON 1184084030
DENISE GINNY WICKERT 1265892111
MRS. CHANNON M BAKER CHW, PSS 1073974796
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.