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MR. RYAN BRADLEY SHIELDS PSS
NPI 1114716180
Peer Specialist in Tigard, OR

Active since May 05, 2025
12505 SW NORTH DAKOTA ST APT 1303, TIGARD, OR 97223(971) 294-9579 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ryan Bradley Shields Pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN BRADLEY SHIELDS PSS (NPI 1114716180) is an individual peer specialist in Tigard, Oregon and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1114716180
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. RYAN BRADLEY SHIELDSCredential: PSS
Location Address12505 SW NORTH DAKOTA ST APT 1303Tigard, OR 97223-3291
Mailing Address12505 Sw North Dakota St Apt 1303Tigard, OR 97223-3291 · (971) 294-9579
Phone(971) 294-9579
Sole ProprietorYes
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1114716180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
12505 SW NORTH DAKOTA ST APT 1303, Tigard, OR 97223
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Shields's NPI number?

The NPI number for Ryan Shields is 1114716180. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Ryan Shields located?

Ryan Shields practices at 12505 SW North Dakota St Apt 1303, Tigard, OR 97223. The listed phone number is (971) 294-9579.

What is Ryan Shields's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ryan Shields was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.