Individual
JONATHAN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-2949
(541) 706-2991
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-3700
(541) 706-3730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD22791
OR
207P00000X
Emergency Medicine Physician
MD00028704
WA
207Q00000X
Family Medicine Physician
Primary
MD22791
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8129819
—
WA
Enumeration date
09/13/2006
Last updated
08/30/2023
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