MRS. SHELLY JEAN DUBISAR NPI 1972010874

NPI Information

NPI: 1972010874
Provider Name: MRS. SHELLY JEAN DUBISAR
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1975 MCPHERSON ST STE 2
NORTH BEND, OR
ZIP 97459
Phone: (541) 751-2549
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MRS. Shelly Jean Dubisar is a peer specialist in North Bend, 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. MRS. Shelly Jean Dubisar NPI is 1972010874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1975 MCPHERSON ST STE 2
NORTH BEND, OR
ZIP 97459-482
Phone: (541) 751-2549
Fax: (541) 751-2660

The enumeration date for this NPI number is 1/2/2018 and was last updated on 1/2/2018.

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				Yes

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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