MICHAEL AUSTIN SHIELDS

PORTLAND, OR
NPI1215603576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-08-17
Last Update Date2021-08-17
Business Address
MICHAEL AUSTIN SHIELDS
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
Mailing Address
MICHAEL AUSTIN SHIELDS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 208-255-9862