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Individual

DR. JONATHAN B. SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 S 5TH ST, MOUNT VERNON, WA 98274-3942
(360) 424-7041
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00047627
WA

Other

Enumeration date
07/06/2007
Last updated
10/16/2025
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