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PATRICK WALTER SHANNON
NPI 1437977089
Peer Specialist in Boardman, OR

Active since October 02, 2024
104 SW KINKADE, BOARDMAN, OR 97818(541) 481-2911(541) 481-2006 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick Walter Shannon NPPES

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

PATRICK WALTER SHANNON (NPI 1437977089) is an individual peer specialist in Boardman, Oregon and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1437977089
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NamePATRICK WALTER SHANNON
Location Address104 SW KINKADEBoardman, OR 97818
Mailing AddressPo Box 469Heppner, OR 97836-0469 · (541) 676-9161 · Fax (541) 676-5662
Phone(541) 481-2911
Fax(541) 481-2006
Sole ProprietorNo
Enumeration DateOctober 2, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1437977089 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.
104 SW KINKADE, Boardman, OR 97818
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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 Patrick Shannon's NPI number?

The NPI number for Patrick Shannon is 1437977089. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Patrick Shannon located?

Patrick Shannon practices at 104 SW Kinkade, Boardman, OR 97818. The listed phone number is (541) 481-2911.

What is Patrick Shannon'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 Patrick Shannon was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.