Individual provider · Type 1 NPI
Genevieve Kathleen Shields, RN
Gerontology Registered Nurse · Portland, OR
NPI number
1114459088
Active
Practice location
5451 SE Belmont, Suite 100
Portland, OR 97215
Mailing address
4531 SE Belmont St., Suite 100
Portland, OR 97215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 201240346RN (OR) |
Gerontology Registered Nurse: Definition to come...
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About NPI 1114459088
Genevieve Kathleen Shields, RN's National Provider Identifier is 1114459088, issued on Mar 30, 2017. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Portland, OR. The record was last updated on Mar 30, 2017.