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SHANE DEAN STOTTLEMIRE
NPI 1609737170
Peer Specialist in Bend, OR

Active since November 24, 2025
63311 JAMISON ST, BEND, OR 97703(541) 585-7210(541) 585-7209 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Dean Stottlemire NPPES

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

SHANE DEAN STOTTLEMIRE (NPI 1609737170) is an individual peer specialist in Bend, Oregon and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1609737170
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHANE DEAN STOTTLEMIRE
Location Address63311 JAMISON STBend, OR 97703-8288
Mailing Address422 Ne Alpenview LnBend, OR 97701-5096
Phone(541) 585-7210
Fax(541) 585-7209
Sole ProprietorNo
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 23, 2025
✔ NPI 1609737170 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.
63311 JAMISON ST, Bend, OR 97703
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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.

ERICA RAE WIMBISH
Case Manager/Care Coordinator
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
VICTORIA MAFFEO
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
MATTHEW JARED GRAFFENBERGER QMHA
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOSHUA JAMES GAGE
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHARLES JOSEPH DEZORT
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHRISTINA HOPE ROWE
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
NICOLE RENEE MCCLENDON LMSW
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOHN STEWART
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500

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 Stottlemire's NPI number?

The NPI number for Shane Stottlemire is 1609737170. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Shane Stottlemire located?

Shane Stottlemire practices at 63311 Jamison St, Bend, OR 97703. The listed phone number is (541) 585-7210.

What is Shane Stottlemire'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 Stottlemire was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.