Shields, Deanna Rae

Shields, Deanna Rae is an individual health care provider with primary practice located at 1631 Sw Coumbia St , Portland OR 97201. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Shields, Deanna Rae can be contacted via phone (503) 231-2641.

Contact Information

Primary practice address
1631 Sw Coumbia St Portland OR 97201
Phone: (503) 231-2641
Fax: (503) 231-1654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X THW000106791 Oregon
Other Service Providers / Peer Specialist 175T00000X THW000106791 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23-CRM-1675 Oregon

Profile Details

NPI number 1003592759
LBN Legal business name Shields, Deanna Rae
Credentials CHW/CRM/PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2023
Last updated Jun 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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