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Shannon A Carslay, CRM
Peer Specialist in Pendleton, Oregon
NPI 1780340612

Shannon A Carslay is a Peer Specialist based in Pendleton, OR. Shannon A Carslay practices in Pendleton, OR and has the professional credentials of CRM. The NPI Number for Shannon A Carslay is 1780340612 and holds a License No. 20-CRM-203 (Oregon).

The current practice location address for Shannon A Carslay is 200 Se Hailey Ave Ste 105106, Pendleton, OR and can be reached out via phone at 541-429-8844 and via fax at 541-429-8822.

Location: 200 Se Hailey Ave Ste 105106, Pendleton, OR, 97801-0882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780340612
Provider Name
Shannon A Carslay
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
200 Se Hailey Ave Ste 105106, Pendleton, OR, 97801-0882
Phone Number
541-429-8844
Fax Number
541-429-8822
Provider Enumeration Date
11/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-CRM-203 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
200 Se Hailey Ave Ste 105106
City
Pendleton
State
Oregon
Zip
97801-3073
Phone Number
541-429-8844
Fax Number
541-429-8822
person
Provider Business Mailing Address Details
Address
200 Se Hailey Ave Ste 105106
City
Pendleton
State
Oregon
Zip
97801-3073
Phone Number
541-429-8844
Fax Number
541-429-8822
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
20-CRM-203 (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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