Individual
STEPHEN W SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
48512-021
WI
207X00000X
Orthopaedic Surgery Physician
Primary
DO22320
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130298
—
OR
01
—
14879696985
CURRY HEALTH DISTRICT
OR
01
—
R179202
MEDICARE FOR CHD
OR
01
—
R179204
MEDICARE FOR RSC
OR
Enumeration date
09/27/2005
Last updated
08/18/2015
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