DR. BYRON MITCHELL SHOCK NPI 1356982466

NPI Information

  • NPI: 1356982466
  • Provider Name: DR. BYRON MITCHELL SHOCK
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 702 SUNSET DR
    ONTARIO, OR
    ZIP 97914
  • Phone: (541) 212-5245

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NPI Details

DR. Byron Mitchell Shock is a peer specialist in Ontario, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. DR. Byron Mitchell Shock NPI is 1356982466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

702 SUNSET DR
ONTARIO, OR
ZIP 97914-121
Phone: (541) 212-5245

The enumeration date for this NPI number is 10/1/2019 and was last updated on 10/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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