Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN CHRISTOPHER KELLEY JR.
Active Sole ProprietorSHAWN CHRISTOPHER KELLEY JR. is a Peer Specialist healthcare provider located in REDMOND, Oregon. NPI 1619792496 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · REDMOND, OR
Registration Details
- NPI Number
- 1619792496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2024 (1.707624831849 yrs)
- Last Updated
- Nov 18, 2024
- License
-
24-CRM-3836 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1655 SW HIGHLAND AVE STE 3REDMOND, OR, 977562558Browse OR providers · Browse ZIP 97756
- Phone
- 5419232654
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in REDMOND, OR
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE JOSEPH PEREZ | — | 1477183721 |
| THOMAS GULICK | CRM | 1952917197 |
| DENA SOUZA | — | 1659954063 |
| MR. RICHARD ARLEN KEEN | CADC-R, PSS | 1770254104 |
| CHRYSTAL SIMMONS | — | 1376206854 |
| LESLIE WILLIAMS | PSS, IPS, CHW, QMHA- | 1538875778 |
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.