Shelly Jean Dubisar
Peer Specialist in North Bend, OR. Individual provider (NPI-1).
NPI number1972010874
StatusActive
Last updated in NPPESJan 2, 2018
Details
- NPI
- 1972010874
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shelly Jean Dubisar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2018
- Last updated
- Jan 2, 2018
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1975 McPherson St Ste 2North Bend, OR 97459-3482
Phone 541-751-2549 · Fax 541-751-2660
Mailing address
1975 McPherson St Ste 2North Bend, OR 97459-3482
Phone 541-751-2549 · Fax 541-751-2660
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.
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All 42 Peer Specialist providers in North Bend · All 556 providers in North Bend
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