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Shea Godwin

Peer Specialist in Eugene, OR. Individual provider (NPI-1).

NPI number1689438772
StatusActive
Last updated in NPPESFeb 8, 2024

Details

NPI
1689438772
Entity type
Individual (NPI-1)
Name
Shea Godwin
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 8, 2024
Certification date
Feb 8, 2024
Last updated
Feb 8, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1258 High St
Eugene, OR 97401-3238

Phone 541-342-8437

Mailing address

1258 High St
Eugene, OR 97401-3238

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Peer Specialist providers in Eugene, OR

All 259 Peer Specialist providers in Eugene · All 9,751 providers in Eugene

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