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1104841543
KIMBERLY A SHIELDS
PORTLAND, OR
NPI
1104841543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO25452)
Enumeration Date
2006-07-13
Last Update Date
2020-10-05
Business Address
KIMBERLY A SHIELDS DO
1321 NE 99TH AVE SUITE 200
PORTLAND, OR 97220-9436
Phone number: 503-215-4250
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Mailing Address
KIMBERLY A SHIELDS DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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