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Shawn Bibb
Peer Specialist in Oregon City, Oregon
NPI 1861930539

Shawn Bibb is a Peer Specialist based in Portland, OR. Shawn Bibb practices in Oregon City, OR. The NPI Number for Shawn Bibb is 1861930539 and holds a License No. 16-CRM-005 (Oregon).

The current practice location address for Shawn Bibb is 704 Main St Ste 302, Oregon City, OR and can be reached out via phone at 971-386-3401 and via fax at 503-723-6653. You can also correspond with Shawn Bibb through the mailing address at PO BOX 16756, PORTLAND, OR - 97292-0756 (mailing address contact number: 971-386-3401).

Location: 704 Main St Ste 302, Oregon City, OR, 97292-0756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861930539
Provider Name
Shawn Bibb
Credential
Provider Entity Type
Individual
Gender
Male
Address
704 Main St Ste 302, Oregon City, OR, 97292-0756
Phone Number
971-386-3401
Fax Number
503-723-6653
Provider Enumeration Date
02/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
704 Main St Ste 302
City
Oregon City
State
Oregon
Zip
97045-1842
Phone Number
971-386-3401
Fax Number
503-723-6653
person
Provider Business Mailing Address Details
Address
704 Main St Ste 302
City
Oregon City
State
Oregon
Zip
97045-1842
Phone Number
971-386-3401
Fax Number
503-723-6653
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
16-CRM-005 (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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