Individual provider · Type 1 NPI
Ryan Bradley Shields, PSS
Peer Specialist · Tigard, OR
NPI number
1114716180
Active
Practice location
12505 SW North Dakota St Apt 1303
Tigard, OR 97223-3291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1114716180
Ryan Bradley Shields, PSS's National Provider Identifier is 1114716180, issued on May 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tigard, OR. The record was last updated on May 5, 2025.