Individual
DEBORAH L SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2501
(360) 428-2596
Mailing address
464 GREENWOOD DR, POINT ROBERTS, WA 98281-8808
(206) 387-5033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
MT
363AM0700X
Medical Physician Assistant
Primary
PA60831969
WA
Other
Enumeration date
09/14/2014
Last updated
10/19/2021
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