Shannon Cole, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

13CRM040 Issued in OR

Practice address

10209 SE Division St
Ste D
Portland, OR 97266-1372

Phone

(971) 386-3429

Fax

(503) 946-8745

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1225489834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16756",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920756",
            "telephone_number": "971-386-3429",
            "fax_number": "503-208-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST",
            "address_2": "STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661372",
            "telephone_number": "971-386-3429",
            "fax_number": "503-946-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHANNON",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "13CRM040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Corrine-Campana Cole, D.D.S.
• Rebecca Mari Cole
• Rebekka Cole, LMT
• Ruth Cole, LMT
• Sandra Patricia Cole, CHW, PSS
• Traci Lynn Cole
• Trevor Cole, PH.D.
• Waneta Cole
• Kristina Colebank, DPT
• Lisa Colella

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.