Amanda J. Shields in Portland - Adult Health
Amanda J. Shields - NPI 1417026410
Amanda J. Shields is a Adult Health in Portland, Oregon. Amanda J. Shields practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Amanda J. Shields is 1417026410. The last update date is 2021-12-07.
Amanda J. Shields's current location address is 5100 S Macadam Ave Ste 200, Portland, Oregon. You can contact this provider via phone number 9712025500 and fax number 9712025555. The mailing address for Amanda J. Shields is 5100 S Macadam Ave Ste 200, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda J. Shields |
|---|---|
| Address | 5100 S Macadam Ave Ste 200, Portland, Oregon |
| Phone Number | 9712025500 |
| Fax Number | 9712025555 |
| Sole Proprietor | N |
| Credentials | ANP-PP |
NPI Number Detail
| NPI Number | 1417026410 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2021-12-07 |
Provider Mailing Address Detail
| Address | 5100 S Macadam Ave Ste 200 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393827 |
| Phone Number | 9712025500 |
| Fax Number | 9712025555 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | APRN-220 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A0220317 | HI | HMSA | |
| 5019444 | HI | UHA | |
| 550196 02 | HI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Amanda J. Shields by the Centers for Medicare & Medicaid Services?
The Amanda J. Shields has been issued the NPI (National Provider Identifier) 1417026410. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Amanda J. Shields located?
The Amanda J. Shields is located at 5100 S Macadam Ave Ste 200, Portland, OR 972393827.
What is Amanda J. Shields's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amanda J. Shields's specialized field of practice is Adult Health, and the corresponding taxonomy code that categorizes this area of specialization is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417026410 to Amanda J. Shields?
The Centers for Medicare & Medicaid Services assigned the 1417026410 to Amanda J. Shields on 2006-11-06.
When was the information regarding Amanda J. Shields, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Amanda J. Shields, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-07.