NPI 1033836804
Shannon Nelson
Practice location
- Address
- 1340 NW Wall St, Bend, OR 97703-1985
- Phone
- (541) 322-7500
- Fax
- (541) 322-7565
- Mailing address
- 2577 NE Courtney Dr, Bend, OR 97701-7752
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1033836804
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Oct 2022
- Record last updated
- 24 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.