Shane Bailey
Shane Bailey is a Peer Specialist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1823 S Jackson Ave Apt 31JTulsa, OK 74107-1867
Phone: (503) 267-2449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1649910738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2022 |
| Last updated in NPPES | March 29, 2022 |
| Certification date | March 29, 2022 |
| Mailing address | 1823 S Jackson Ave Apt 31j, Tulsa, OK 74107-1867 |
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