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MR. SHANE HARRIS MICHAEL ROBERTS
NPI 1336757111
Peer Specialist in Eugene, OR

Active since July 17, 2020
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401(541) 682-3608 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Jul 17, 2020 (2 updates tracked since 2020).

About Mr. Shane Harris Michael Roberts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE HARRIS MICHAEL ROBERTS (NPI 1336757111) is an individual peer specialist in Eugene, Oregon and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1336757111
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. SHANE HARRIS MICHAEL ROBERTS
Location Address2411 MARTIN LUTHER KING JR BLVDEugene, OR 97401-5824
Mailing Address2411 Martin Luther King Jr BlvdEugene, OR 97401-5824 · (541) 682-3608
Phone(541) 682-3608
Sole ProprietorNo
Enumeration DateJuly 17, 2020
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1336757111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2411 MARTIN LUTHER KING JR BLVD, Eugene, OR 97401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARYN ELIZABETH DEFOE LPC
Counselor (Mental Health)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
CHRISTOPHER ROBBINS EILERS I MA
Counselor (Professional)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
MRS. ANDREA LYNN WILLIAMS MA
Counselor (Professional)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
MR. ED SHIMAN M.A.
Counselor (Mental Health)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3606
MADELINE PRITCHARD
Social Worker (Clinical)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
PATRICK MATTHEW FARR JR.
Social Worker
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
HEATHER CHRISTINE VELARDE
Counselor (Mental Health)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
MR. JEFFREY NED CHRISTENSEN MA, LPC
Counselor (Professional)
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401
Lane County (541) 682-3608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Roberts's NPI number?

The NPI number for Shane Roberts is 1336757111. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Shane Roberts located?

Shane Roberts practices at 2411 Martin Luther King Jr Blvd, Eugene, OR 97401. The listed phone number is (541) 682-3608.

What is Shane Roberts's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Roberts was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.