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MR. SHANE SMEDLEY QMHA-R, CRM, PSS-AD
NPI 1710672449
Peer Specialist in Shady Cove, OR

Active since April 10, 2023
361 YEWWOOD DR, SHADY COVE, OR 97539(458) 204-8226 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Apr 10, 2023 (2 updates tracked since 2023).

About Mr. Shane Smedley Qmha-r, Crm, Pss-ad NPPES

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

MR. SHANE SMEDLEY QMHA-R, CRM, PSS-AD (NPI 1710672449) is an individual peer specialist in Shady Cove, Oregon, licensed in Oregon (108144) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1710672449
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. SHANE SMEDLEYCredential: QMHA-R, CRM, PSS-AD
Location Address361 YEWWOOD DRShady Cove, OR 97539-9794
Mailing Address361 Yewwood DrShady Cove, OR 97539-9794 · (458) 204-8226
Phone(458) 204-8226
Sole ProprietorYes
Enumeration DateApril 10, 2023
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1710672449 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 · 108144
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.

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 Smedley's NPI number?

The NPI number for Shane Smedley is 1710672449. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Shane Smedley located?

Shane Smedley practices at 361 Yewwood Dr, Shady Cove, OR 97539. The listed phone number is (458) 204-8226.

What is Shane Smedley'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 Smedley was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.