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Individual

DR. JERAD RAY SHOEMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 BROADWAY ST, LONGVIEW, WA 98632-3256
(360) 414-2236
(360) 414-2024
Mailing address
600 BROADWAY ST, LONGVIEW, WA 98632-3256
(360) 414-2038

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60303749
WA
2084P0800X
Psychiatry Physician
MD60303749
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/09/2008
Last updated
06/27/2025
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