Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659930980 Individual Practitioner Female Practitioner

Shannon Pullen

Peer Specialist • Tillamook, OR

Professional Overview & Biography Verified Profile Summary

Shannon Pullen is a registered healthcare professional specializing in Peer Specialist in Tillamook, OR. Practice services are available at 906 MAIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

906 Main Ave

Tillamook, OR 971413816

Telephone 5038428201
Fax 5038151870
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tillamook, OR

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

Practicing in Tillamook, 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

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

40 Associated Practitioners
Kathy Sias

Counselor - Mental Health

NPI 1033621370
Dustin Young , MSW

Counselor - Mental Health

NPI 1043616535

Master of Social Work

Jodee Ridderbusch , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1043755291

CADCI

Gary Frunz , MA

Counselor - Mental Health

NPI 1043894967

Master of Arts

NPI 1063370245
Steven Larzelier , LCSW

Social Worker - Clinical

NPI 1083852305

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2019

Registered at 906 MAIN AVE, TILLAMOOK, OR 971413816 (Tel: 5038428201)

📍
Updated Business Mailing Address June 11, 2019

Registered at 906 MAIN AVE, TILLAMOOK, OR 971413816 (Tel: 5038428201)

👤
Provider Name / Credentials Updated June 11, 2019

Recorded as SHANNON PULLEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration June 11, 2019

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: 1659930980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2019
Last Update: June 11, 2019
Sole Proprietor: No

Mailing Address

906 Main Ave

Tillamook, OR 971413816

Phone: 5038428201

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.