Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrick Walter Shannon

Individual provider Peer Specialist · NPI 1437977089

Patrick Walter Shannon is a Peer Specialist in Boardman, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

104 SW Kinkade
Boardman, OR 97818
Phone: (541) 481-2911
Fax: (541) 481-2006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1437977089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateSeptember 30, 2024
Mailing addressPo Box 469, Heppner, OR 97836-0469

Other providers in Boardman