Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shane Thomas Branson

Individual provider Peer Specialist · NPI 1508760141

Shane Thomas Branson is a Peer Specialist in Ridgefield, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

21810 NE 37th Ave
Ridgefield, WA 98642-7747
Phone: (360) 687-8555
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (WA)

Record details

NPI number1508760141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2026
Last updated in NPPESOctober 6, 2026
Certification dateOctober 6, 2026

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