Individual
MRS. GENEVIEVE KATHLEEN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5451 SE BELMONT, SUITE 100, PORTLAND, OR 97215
(503) 215-9800
Mailing address
4531 SE BELMONT ST., SUITE 100, PORTLAND, OR 97215
(503) 215-9800
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
201240346RN
OR
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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