Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437977089 Individual Practitioner Male Practitioner

Patrick Walter Shannon

Peer Specialist • Boardman, OR

Professional Overview & Biography Verified Profile Summary

Patrick Shannon is a registered healthcare professional specializing in Peer Specialist in Boardman, OR. Practice services are available at 104 SW KINKADE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 Sw Kinkade

Boardman, OR 97818

Telephone 5414812911
Fax 5414812006
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Boardman, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Boardman, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-30
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Zaira Sanchez

Counselor - Mental Health

NPI 1083179527
Jordan Connell , QMHA

Counselor - Mental Health

NPI 1083328918
Joshua Tarvin , PEER

Counselor - Mental Health

NPI 1134877376
Cydney Morgan , MA, QMHP

Counselor - Mental Health

NPI 1144660168

Master of Arts, Qualified Mental Health Professional

Craig Nelson

Counselor - Mental Health

NPI 1164031423
Katherine Adams

Counselor - Mental Health

NPI 1164094298

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2024

Registered at 104 SW KINKADE, BOARDMAN, OR 97818 (Tel: 5414812911)

📍
Updated Business Mailing Address October 02, 2024

Registered at PO BOX 469, HEPPNER, OR 978360469 (Tel: 5416769161)

👤
Provider Name / Credentials Updated October 02, 2024

Recorded as PATRICK SHANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 02, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437977089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2024
Last Update: October 02, 2024
Sole Proprietor: No

Mailing Address

Po Box 469

Heppner, OR 978360469

Phone: 5416769161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.