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DUSTIN A SHADLEY
NPI 1841648516
Peer Specialist in Medford, OR

Active since June 02, 2016
140 S HOLLY STREET, MEDFORD, OR 97501(541) 774-8201(541) 774-7979 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Shadley's NPI number?

The NPI number for Dustin Shadley is 1841648516. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Dustin Shadley located?

Dustin Shadley practices at 140 S Holly Street, Medford, OR 97501. The listed phone number is (541) 774-8201.

What is Dustin Shadley'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 Dustin Shadley was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.