IndividualActive
Amanda Shields, ANP-PP
NPI 1417026410 · Adult Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1417026410
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP-PP
- Sex
- Female
- Sole proprietor
- No
- License
- APRN-220 (HI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone: (971) 202-5500
Fax: (971) 202-5555
Approximate (ZIP-level) locationGet directions
Mailing address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.