Individual
DR. DOUGLAS S SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(503) 215-4323
(503) 215-0297
Mailing address
PO BOX 3308, PORTLAND, OR 97208-3308
(503) 215-4323
(503) 215-0297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO25650
OR
Other
Enumeration date
05/03/2007
Last updated
09/24/2020
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