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

Shane Douglas Martin, CRM

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417439092

Shane Douglas Martin, CRM is an Addiction (Substance Use Disorder) Counselor in Prineville, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018

Practice location Address checks out

1333 NW 9th St
Prineville, OR 97754-1482
Phone: (541) 447-2631
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (OR)

Record details

NPI number1417439092
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018

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