SHANNON RUTH MARTINEZ
NPI 1619757879
Counselor - Addiction (Substance Use Disorder) in Baker City, OR

Active since October 04, 2023
3610 MIDWAY DR, BAKER CITY, OR 97814(541) 523-6581(541) 523-9237 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Ruth Martinez NPPES

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

SHANNON RUTH MARTINEZ (NPI 1619757879) is an individual addiction (substance use disorder) provider in Baker City, Oregon, licensed in Oregon (T-23-3155) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1619757879
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON RUTH MARTINEZ
Location Address3610 MIDWAY DRBaker City, OR 97814-1466
Mailing Address3425 13th StBaker City, OR 97814-1340 · (541) 523-7400 · Fax (541) 523-4927
Fax(541) 523-9237
Sole ProprietorYes
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1619757879 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
License Licensed in OR · T-23-3155
3610 MIDWAY DR, Baker City, OR 97814

Other Identifiers 1

OtherZA120782BID · Drivers License

Other Providers at the Same Location NPPES 5

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

Counselor (Addiction (Substance Use Disorder))
3610 MIDWAY DR
BAKER CITY, OR 97814
Counselor (Addiction (Substance Use Disorder))
3610 MIDWAY DR
BAKER CITY, OR 97814
Substance Abuse Rehabilitation Facility
3610 MIDWAY DR
BAKER CITY, OR 97814
Counselor (Addiction (Substance Use Disorder))
3610 MIDWAY DR
BAKER CITY, OR 97814
Counselor (Addiction (Substance Use Disorder))
3610 MIDWAY DR
BAKER CITY, OR 97814

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 Shannon Martinez's NPI number?

The NPI number for Shannon Martinez is 1619757879. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Shannon Martinez located?

Shannon Martinez practices at 3610 Midway Dr, Baker City, OR 97814. The listed phone number is (541) 523-6581.

What is Shannon Martinez'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 Shannon Martinez was last updated on October 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.