Individual provider · Type 1 NPI

Amanda J. Shields, ANP-PP

Adult Health Nurse Practitioner · Portland, OR

NPI number 1417026410 Active

Practice location

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827

Fax (971) 202-5555

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAPRN-220 (HI)
Adult Health Nurse Practitioner Primary 363LA2200X200850093NP (OR)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1417026410

Amanda J. Shields, ANP-PP's National Provider Identifier is 1417026410, issued on Nov 6, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Dec 7, 2021.