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

SHELLY RAE FOX

Active

SHELLY RAE FOX is a Peer Specialist healthcare provider located in GRAND RONDE, Oregon. NPI 1619664711 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · GRAND RONDE, OR

Registration Details

NPI Number
1619664711
Provider Type
Individual
Gender
Female
NPI Issued
Apr 19, 2023 (3.1768578527134 yrs)
Last Updated
Apr 19, 2023
License
THW000108778 (OR)

Practice Information

Address
9615 GRAND RONDE RD
GRAND RONDE, OR, 973479712
Browse OR providers · Browse ZIP 97347
Phone
5038792002
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in GRAND RONDE, OR

Name Credential NPI
HEIDI KATHLEEN HICINBOTHOM 1023534252
TRACI DIANE HAMILTON 1679056436
NATASHA RAE WORDEN PEER SUPPORT 1063107308
CHRISTINA MORGAN CRM, PSS 1851174452
MICHAEL HENRY PWS 1154104800
JOSEPH SHANE COX 1457157752
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.