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Individual

SHANE WEARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
940 E 5TH ST, COQUILLE, OR 97423-1699
(541) 396-3101
Mailing address
940 E 5TH ST, COQUILLE, OR 97423-1666

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO205777
OR

Other

Enumeration date
04/20/2016
Last updated
10/14/2025
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