Individual
ERIC CHARLES SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A110413
CA
207L00000X
Anesthesiology Physician
Primary
MD170042
OR
207L00000X
Anesthesiology Physician
ME151331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679593
—
OR
Enumeration date
06/03/2008
Last updated
06/16/2021
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