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

Shawn Christopher Kelley Jr.

Individual provider Peer Specialist · NPI 1619792496

Shawn Christopher Kelley Jr. is a Peer Specialist in Redmond, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

1655 SW Highland Ave Ste 3
Redmond, OR 97756-2558
Phone: (541) 923-2654
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 24-CRM-3836 (OR)

Record details

NPI number1619792496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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