Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly A Shields, DO

Individual provider Family Medicine Physician · NPI 1104841543

Kimberly A Shields, DO is a Family Practice in Portland, Oregon. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2002, 24 years ago. Practices with Advanced Internal Medicine Group PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
24
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
OR
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1321 NE 99th Ave Ste 200
Portland, OR 97220-9436
Phone: (503) 215-4250
Fax: (503) 215-4255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO25452 (OR)

Record details

NPI number1104841543
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2002 (24 years in practice)
Group practice Advanced Internal Medicine Group Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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