Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK WALTER SHANNON
ActivePeer Specialist · BOARDMAN, OR
Registration Details
- NPI Number
- 1437977089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2024 (1.5843447180827 yrs)
- Last Updated
- Oct 2, 2024
Practice Information
- Address
-
104 SW KINKADEBOARDMAN, OR, 97818Browse OR providers · Browse ZIP 97818
- Phone
- 5414812911
- Fax
- 5414812006
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in BOARDMAN, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER B BROCK | — | 1467197509 |
| CAMREN LEE MILLER | PEER SUPPORT | 1770206757 |
| ROBERT DOYLE HUBBELL | CRM | 1770260267 |
| BIANCA SARAHI GUTIERREZ | PEER | 1962283911 |
| KARLA AYDE DOMINGUEZ | PEER SUPPORT | 1740044395 |
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.