Individual
DR. JONATHAN KALE GAVIN SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 SW COAST HWY STE 102, NEWPORT, OR 97365-5239
(541) 265-4253
(541) 265-4035
Mailing address
1010 SW COAST HWY STE 102, NEWPORT, OR 97365-5239
(541) 265-4253
(541) 265-4035
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD.200122
LA
207V00000X
Obstetrics & Gynecology Physician
MD00047503
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD154161
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635045
—
OR
Enumeration date
07/28/2005
Last updated
10/29/2020
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