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Individual

WENDY SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(866) 279-1751
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(866) 279-1751

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
6742
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH 00010803
WA
1835P2201X
Ambulatory Care Pharmacist
6742
OR
1835P2201X
Ambulatory Care Pharmacist
PH 00010803
WA

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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