Individual
LAUREN BETH SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, DNP
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-7725
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11991439-4405
UT
363LA2100X
Acute Care Nurse Practitioner
202009198NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417572975
NPI
—
Enumeration date
06/10/2020
Last updated
03/08/2025
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