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

Shane Dean Stottlemire

Individual provider Peer Specialist · NPI 1609737170

Shane Dean Stottlemire is a Peer Specialist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

63311 Jamison St
Bend, OR 97703-8288
Phone: (541) 585-7210
Fax: (541) 585-7209
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OR)

Record details

NPI number1609737170
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 23, 2025
Mailing address422 Ne Alpenview Ln, Bend, OR 97701-5096

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