Shane Lodder
Individual provider Active NPI Case Manager/Care Coordinator · Enterprise, OR
NPI 1780469502 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1780469502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 606 Medical Pkwy
Enterprise, OR 97828-5140 - Phone
- (541) 426-4524
- NPI assigned
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
606 Medical Pkwy
Enterprise, OR 97828-5140
Mailing address
106 W Alder St
Enterprise, OR 97828-1512
Phone (509) 386-9550
Other providers in Enterprise, OR
- Anna Lembke
- Troy Lewellyn
- Vanessa Lewis
- Kayla Linville
- Jennifer Little
- Lauren Macdonald
- Annika Giesbrecht Maly
- Anna Mapes
- Lauren March
- Patrice Ann Marshall
All providers in Enterprise, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.