KILLIAN DRAKE SHIELDS

PORTLAND, OR
NPI1407206394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-06-21
Last Update Date2022-06-03
Business Address
KILLIAN DRAKE SHIELDS QMHP
1650 NE 32ND AVE APT 418
PORTLAND, OR 97232-3454
Phone number: 541-340-9016
Mailing Address
KILLIAN DRAKE SHIELDS QMHP
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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