Carslay, Shannon A
Carslay, Shannon A is an individual health care provider with primary practice located at 200 Se Hailey Ave Ste 105106 , Pendleton OR 97801-3073. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Carslay, Shannon A can be contacted via phone (541) 429-8844.Contact Information
Primary practice address
200 Se Hailey Ave Ste 105106
Pendleton OR 97801-3073
Phone: (541) 429-8844
Fax: (541) 429-8822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 20-CRM-203 | Oregon |
Profile Details
| NPI number | 1780340612 |
|---|---|
| LBN Legal business name | Carslay, Shannon A |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2021 |
| Last updated | Nov 15th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780340612 | NPPES |
| Oregon | Other | 20-CRM-203 | MHACBO |
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