Active NPI
Shelby White, PSS
- Peer Specialist
- Dallas, OR
National Provider Identifier
1548078074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 112880
- Practice address
- 945 SE Uglow Ave
Dallas, OR 97338-2642 - Phone
- (503) 837-1762
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 112880 | OR | Primary |
Addresses
Primary practice location
945 SE Uglow Ave
Dallas, OR 97338-2642
Mailing address
PO Box 100
Albany, OR 97321-0031
Phone (541) 967-3866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112880 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1548078074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "ALBANY",
"state": "OR",
"postal_code": "973210031",
"telephone_number": "541-967-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 SE UGLOW AVE",
"city": "DALLAS",
"state": "OR",
"postal_code": "973382642",
"telephone_number": "503-837-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SHELBY",
"credential": "PSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "112880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.