Search › Oregon › 1041C0700X
Shannon Bates, MSW, LCSW
NPI 1275007601 · on the registry since 2019
Practice
- Address
- Telehealth From Home
1857 Brookhurst St
Medford, OR 97504 - Phone
- (458) 206-4784
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
1041C0700X - Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon