Individual
MS. ELIZABETH ANNE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
7180 SW FIR LOOP, TIGARD, OR 97223-8023
(503) 639-3009
Mailing address
711 RAMSEY AVE, GRANTS PASS, OR 97527
(541) 476-3302
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0766
OR
Other
Enumeration date
11/30/2006
Last updated
01/06/2020
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