KILLIAN DRAKE SHIELDS QMHP NPI 1407206394

NPI Information

Killian Drake Shields, QMHP is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Killian Drake Shields, QMHP NPI is 1407206394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 NE 32ND AVE APT 418
PORTLAND, OR
ZIP 97232-454
Phone: (541) 340-9016

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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