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Mr. Shane Smedley, QMHA-R,CRM,PSS-AD
Peer Specialist in Shady Cove, Oregon
NPI 1710672449

Shane Smedley is a Peer Specialist based in Shady Cove, OR. Shane Smedley practices in Shady Cove, OR and has the professional credentials of QMHA-R,CRM,PSS-AD. The NPI Number for Shane Smedley is 1710672449 and holds a License No. 108144 (Oregon).

The current practice location address for Shane Smedley is 361 Yewwood Dr, Shady Cove, OR and can be reached out via phone at 458-204-8226.

Location: 361 Yewwood Dr, Shady Cove, OR, 97539-9794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710672449
Provider Name
Shane Smedley
Credential
QMHA-R,CRM,PSS-AD
Provider Entity Type
Individual
Gender
Male
Address
361 Yewwood Dr, Shady Cove, OR, 97539-9794
Phone Number
458-204-8226
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
361 Yewwood Dr
City
Shady Cove
State
Oregon
Zip
97539-9794
Phone Number
458-204-8226
Fax Number
person
Provider Business Mailing Address Details
Address
361 Yewwood Dr
City
Shady Cove
State
Oregon
Zip
97539-9794
Phone Number
458-204-8226
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
108144 (Oregon)
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.
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