Individual
MS. AMANDA J. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-PP
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200850093NP
OR
363LA2200X
Adult Health Nurse Practitioner
APRN-220
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0220317
HMSA
HI
01
—
5019444
UHA
HI
05
—
550196 02
—
HI
Enumeration date
11/06/2006
Last updated
12/07/2021
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