Individual
MS. JOYCE ELAINE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3880 SE HARRISON ST, PORTLAND, OR 97222-5899
(503) 513-4665
Mailing address
4930 SE 128TH AVE, PORTLAND, OR 97236-3906
(503) 761-9686
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00709
OR
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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