Jonathan Taylor Shields, QMHA is a
Adult Companion based in Portland, Oregon. Jonathan Taylor Shields is licensed to practice in * (Not Available) (license number ) and his current practice location is
847 Ne 19th Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(971) 282-5901.
NPI number for Jonathan Taylor Shields is 1477847077 and his current mailing address is 5402 Ne Hoyt St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477847077.
Healthcare Provider's Profile
Full Name | Jonathan Taylor Shields |
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Gender | Male |
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Speciality | Adult Companion |
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Location | 847 Ne 19th Ave, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477847077
- Provider Enumeration Date: 06/01/2011
- Last Update Date: 02/23/2015
Medical Identifiers
Medical identifiers for Jonathan Taylor Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477847077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 101Y00000X (Oregon) | Secondary |
372600000X | Adult Companion | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Taylor Shields is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Taylor Shields, QMHA 5402 Ne Hoyt St, Portland, OR 97213-3067 Ph: (971) 282-5901 | Jonathan Taylor Shields, QMHA 847 Ne 19th Ave, Portland, OR 97232-2684 Ph: (971) 282-5901 |
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