Individual
MR. JAFET EMIRO GONZALEZ-ZAKARCHENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 574-5960
(541) 265-0601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9454
NM
2084P0800X
Psychiatry Physician
Primary
MD212113
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15238
—
NM
Enumeration date
04/24/2006
Last updated
05/10/2023
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