MR. SHANE ELIOT SEMIN


Address: 140 South Holly Street, Medford, OR 97501
Phone: 5417748200

MR. SHANE ELIOT SEMIN (NPI# 1922310606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922310606
Entity Type Individual
Full Name MR. SHANE ELIOT SEMIN
Credential CADCI
Practice Address 140 South Holly Street
Medford
OR 97501
Practice Telephone 5417748200
Practice Fax Number 5417747964
Mailing Telephone 5417748200
Mailing Fax Number 5417747964
Enumeration Date 2010-07-09
Last Update Date 2014-12-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 140 SOUTH HOLLY STREET
City MEDFORD
State OR
Zip Code 97501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407843725 Luis Felix Oxholm Psychiatry & Neurology 140 South Holly Street, Medford, OR 97501 2005-10-03
1508313586 Kimberli Lanelle Bean Case Manager/Care Coordinator 140 South Holly Street, Medford, OR 97501 2016-09-07
1194116640 Albert Edward Solochier Registered Nurse 140 South Holly Street, Medford, OR 97501-3113 2015-02-05
1487051363 Jamie Marie Barton Counselor 140 South Holly Street, Medford, OR 97501 2014-11-20
1063818342 Caitlin Lawson Case Manager/Care Coordinator 140 South Holly Street, Medford, OR 97501 2014-11-13
1316343692 Sheena Bisera Case Manager/Care Coordinator 140 South Holly Street, Medford, OR 97501 2014-11-13
1225434996 Louisa Saloma Case Manager/Care Coordinator 140 South Holly Street, Medford, OR 97501 2014-11-07
1255735098 Richelle Raelynn Marshall Case Manager/Care Coordinator 140 South Holly Street, Medford, OR 97501 2014-10-21
1992109045 Kevin Hoeper Case Manager/Care Coordinator 140 South Holly Street, Medford, OR 97501 2014-10-17
1083018683 Susan Sherrill Counselor 140 South Holly Street, Medford, OR 97501 2014-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124685870 Tracy L Sunde Counselor 512 4th St Sw, Medford, MN 55049-9568 2019-05-28
1245737956 Larkspur Counseling LLC Counselor 328 S Central Ave Ste 212, Medford, OR 97501-7274 2018-04-09
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1255875654 Danielle E Peterson Counselor 429 W Broadway Ave, Medford, WI 54451-1608 2016-12-05
1376099523 Patricia Mcatee Counselor 243 N Holly St, Apt 1, Medford, OR 97501-5603 2016-08-28
1437512449 Sage Bosch Counselor 1003 E Main St # 104, Medford, OR 97504-7448 2016-03-29
1114385853 April Collins-macauley Counselor 234 W 5th St, Medford, OR 97501-2611 2016-02-09
1154714418 Marykay Powell Counselor 4175 Cedar Ln, Medford, OR 97501-9611 2015-03-11
1699163931 Violeta Iguchi Counselor 3501 Excel Dr Ste 225, Medford, OR 97504-8067 2015-01-08
1790109049 Ellen Lynch Counselor 3251 Route 112 Ste 2, Medford, NY 11763-1446 2014-02-06
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Competitor

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City MEDFORD
Zip Code 97501

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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