1. Home
  2. Directory
  3. Oregon
  4. Prineville
  5. Counselor
  6. NPI Profile

SHANE DOUGLAS MARTIN CRM
NPI 1417439092
Counselor - Addiction (Substance Use Disorder) in Prineville, OR

Active since August 30, 2018
1333 NW 9TH ST, PRINEVILLE, OR 97754(541) 447-2631 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Douglas Martin Crm NPPES

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

SHANE DOUGLAS MARTIN CRM (NPI 1417439092) is an individual addiction (substance use disorder) provider in Prineville, Oregon and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1417439092
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANE DOUGLAS MARTINCredential: CRM
Location Address1333 NW 9TH STPrineville, OR 97754-1482
Mailing Address1333 Nw 9th StPrineville, OR 97754-1482 · (541) 447-2631
Phone(541) 447-2631
Sole ProprietorNo
Enumeration DateAugust 30, 2018
✔ NPI 1417439092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1333 NW 9TH ST, Prineville, OR 97754
Open in Google Maps ↗

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.

CHELSEA SPARRELL
Case Manager/Care Coordinator
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 388-8449
CRYSTAL ANN STRADER PSS
Peer Specialist
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 447-2631
HEATHER KENNEDY
Counselor (Addiction (Substance Use Disorder))
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 388-8459
MR. STEVEN HOUGHTON
Counselor (Addiction (Substance Use Disorder))
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 447-2631
MRS. ARIEL KRAUSER
Case Manager/Care Coordinator
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 447-2631
RENEE KRISTINE CARVER
Counselor (Mental Health)
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 447-2631
NICOLE A ADAMS BA
Counselor (Addiction (Substance Use Disorder))
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 447-2631
RIMROCK TRAILS TREATMENT SERVICES
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1333 NW 9TH ST
PRINEVILLE, OR 97754
Crook County (541) 447-2631

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 Martin's NPI number?

The NPI number for Shane Martin is 1417439092. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Shane Martin located?

Shane Martin practices at 1333 NW 9th St, Prineville, OR 97754. The listed phone number is (541) 447-2631.

What is Shane Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shane Martin was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.