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SHELLY RAE FOX
NPI 1619664711
Peer Specialist in Grand Ronde, OR

Active since April 19, 2023
9615 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2002 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly Rae Fox NPPES

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

SHELLY RAE FOX (NPI 1619664711) is an individual peer specialist in Grand Ronde, Oregon, licensed in Oregon (THW000108778) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1619664711
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHELLY RAE FOX
Location Address9615 GRAND RONDE RDGrand Ronde, OR 97347-9712
Mailing Address9615 Grand Ronde RdGrand Ronde, OR 97347-9712 · (503) 879-2002
Phone(503) 879-2002
Sole ProprietorNo
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1619664711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000108778
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.
9615 GRAND RONDE RD, Grand Ronde, OR 97347
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Other Names 1

Former Name (1)Shelly Whitley-waelty

Other Providers at the Same Location NPPES 8

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

NICOLE MARIE ESTRADA LMFT, LPC
Marriage & Family Therapist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2026
SYDNEY CLARK
Counselor (Addiction (Substance Use Disorder))
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2297
JOSEPH ULESTAD
Counselor (Addiction (Substance Use Disorder))
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2297
CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON
Clinical Medical Laboratory
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2060
SHAWNA LASHELL MARTIN RN
Registered Nurse
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-6709
KATIE MARTIN
Internal Medicine
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2008
SARAH J ROSS MS, CCC-SLP
Speech-Language Pathologist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 583-0143
MRS. TERRI KNOWLES O.D.
Optometrist
9615 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2097

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 Shelly Fox's NPI number?

The NPI number for Shelly Fox is 1619664711. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Shelly Whitley-Waelty.

Where is Shelly Fox located?

Shelly Fox practices at 9615 Grand Ronde Rd, Grand Ronde, OR 97347. The listed phone number is (503) 879-2002.

What is Shelly Fox'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 Shelly Fox was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.