MR. Ryan Bradley Shields, PSS

NPI #1114716180 in Tigard, Oregon

Provider Information

NPI Number: 1114716180
Entity Type: Individual
Name: MR. Ryan Bradley Shields, PSS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: PSS
Enumeration Date: May 5, 2025
Last Updated: May 5, 2025

Practice Location

Address: 12505 SW NORTH DAKOTA ST APT 1303
City: Tigard
State: Oregon
ZIP Code: 97223-3291
Phone: (971) 294-9579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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