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SAMANTHA NICOLE SHADDUCK
NPI 1902477128
Peer Specialist in Klamath Falls, OR

Active since July 08, 2021
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601(541) 883-1030 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Nicole Shadduck NPPES

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

SAMANTHA NICOLE SHADDUCK (NPI 1902477128) is an individual peer specialist in Klamath Falls, Oregon and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1902477128
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSAMANTHA NICOLE SHADDUCK
Location Address2210 N ELDORADO AVEKlamath Falls, OR 97601-6418
Mailing Address2210 N Eldorado AveKlamath Falls, OR 97601-6418 · (541) 883-1030
Phone(541) 883-1030
Sole ProprietorNo
Enumeration DateJuly 8, 2021
NPPES CertifiedJuly 8, 2021
✔ NPI 1902477128 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.
2210 N ELDORADO AVE, Klamath Falls, OR 97601
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Other Providers at the Same Location NPPES 20

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

EMMA BOCHSLER
Registered Nurse
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
KLAMATH CHILD AND FAMILY TREATMENT CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1028
MRS. BRITTANIA NICOLE WELCH
Social Worker (Clinical)
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
MISTY WATTS
Counselor
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
KEANU MCCUNE
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
LANA LIANA COLLIER
Peer Specialist
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030
CASSANDRA ANNAHI SILVA
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (431) 883-1030
LUCIA NINO
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Klamath County (541) 883-1030

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 Samantha Shadduck's NPI number?

The NPI number for Samantha Shadduck is 1902477128. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Samantha Shadduck located?

Samantha Shadduck practices at 2210 N Eldorado Ave, Klamath Falls, OR 97601. The listed phone number is (541) 883-1030.

What is Samantha Shadduck'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 Samantha Shadduck was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.