NPI 1114716180

Ryan Bradley Shields, PSS

Practitioner Peer Specialist Tigard, OR

Practice location

Address: 12505 SW North Dakota St APT 1303, Tigard, OR 97223-3291
Phone: (971) 294-9579

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oregon →

Peer Specialist

Other Service Providers Taxonomy 175T00000X

Registry record

NPI: 1114716180
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2025
Record last updated: 5 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.