SHANNON A CARSLAY CRM NPI 1780340612

NPI Information

NPI: 1780340612
Provider Name: SHANNON A CARSLAY, CRM
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
200 SE HAILEY AVE STE 105106
PENDLETON, OR
ZIP 97801
Phone: (541) 429-8844
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Shannon A Carslay, CRM is a peer specialist in Pendleton, OR. The provider is 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. Shannon A Carslay, CRM NPI is 1780340612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 SE HAILEY AVE STE 105106
PENDLETON, OR
ZIP 97801-073
Phone: (541) 429-8844
Fax: (541) 429-8822

The enumeration date for this NPI number is 11/15/2021 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		20-CRM-203	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20-CRM-203	OTHER	OREGON	MHACBO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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