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1215603576
MICHAEL AUSTIN SHIELDS
PORTLAND, OR
NPI
1215603576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
MICHAEL AUSTIN SHIELDS
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
MICHAEL AUSTIN SHIELDS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 208-255-9862
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