Individual
MR. RYAN BRADLEY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
12505 SW NORTH DAKOTA ST APT 1303, TIGARD, OR 97223-3291
(971) 294-9579
Mailing address
12505 SW NORTH DAKOTA ST APT 1303, TIGARD, OR 97223-3291
(971) 294-9579
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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