Shared Hope for Healing

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

02336 Issued in OR

Legal business name

SHARED HOPE FOR HEALING

Practice address

6750 McCoy Rd
Rickreall, OR 97371-9717

Phone

(503) 779-4786

Fax

(503) 391-7422

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Linda Leann Shannon, LCSW

Title

Executive Director

Phone

(503) 779-4786

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1205075025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5785",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973040785",
            "telephone_number": "503-316-1970",
            "fax_number": "503-391-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 MCCOY RD",
            "city": "RICKREALL",
            "state": "OR",
            "postal_code": "973719717",
            "telephone_number": "503-779-4786",
            "fax_number": "503-391-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED HOPE FOR HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-779-4786",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "02336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jane Garcia
• Debra Lynne, LPC

• Community/Behavioral Health Agency in Rickreall, OR
• Providers in Rickreall, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.