Individual
ALEXIS D SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
7817 SE STARK ST, PORTLAND, OR 97215-2339
(317) 408-2959
Mailing address
1538 SE 86TH AVE, PORTLAND, OR 97216-1338
(317) 408-2959
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1699
OR
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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