Savannah Rose
Individual provider Active NPI Peer Specialist · Shedd, OR
NPI 1831022110 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1831022110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 26-CRM-5562 (OR)
- Practice address
- 31700 Fayetteville Dr
Shedd, OR 97377-9779 - Phone
- (541) 603-9981
- NPI assigned
- Jun 5, 2026
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-CRM-5562 | OR | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 26-CRM-5562 | OR | Yes |
Addresses
Primary practice location
31700 Fayetteville Dr
Shedd, OR 97377-9779
Mailing address
18600 SE McLoughlin Blvd
Milwaukie, OR 97267-6723
Phone (503) 946-3267
Other providers in Shedd, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. 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.