DUSTIN A SHADLEY - NPI 1841648516 - Peer Specialist in Medford, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Dustin A Shadley NPPES

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

DUSTIN A SHADLEY (NPI 1841648516) is an individual peer specialist in Medford, Oregon and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1841648516

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameDUSTIN A SHADLEY

Location Address140 S HOLLY STREETMedford, OR 97501-3113

Mailing Address140 S Holly StreetMedford, OR 97501-3113 · (541) 774-8201 · Fax (541) 774-7979

Phone(541) 774-8201

Fax(541) 774-7979

Sole ProprietorNo

Enumeration DateJune 2, 2016

✔ NPI 1841648516 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.

140 S HOLLY STREET, Medford, OR 97501

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Other Providers at the Same Location NPPES 3

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

MELANIE MOCK LPC

Counselor (Professional)

140 S HOLLY STREET
MEDFORD, OR 97501

Jackson County (541) 774-8201

DONNA MARIE CUFAUDE

Peer Specialist

140 S HOLLY STREET
MEDFORD, OR 97501

Jackson County (541) 774-8201

COUNTY OF JACKSON

Public Health or Welfare

140 S HOLLY STREET
MEDFORD, OR 97501

Jackson County (541) 774-8218

Frequently Asked Questions

What is Dustin Shadley's NPI number?

The NPI number assigned to this healthcare provider is 1841648516, enumerated as an "individual" on June 02, 2016.

Where is the provider located?

The provider is located at 140 S HOLLY STREET MEDFORD, OR 97501 and the phone number is (541) 774-8201.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.