Individual
MR. DONALD BYRON SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5016
(503) 255-5094
Mailing address
718 SE 29TH AVE, PORTLAND, OR 97214-3028
(503) 810-6099
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
200940298RN
OR
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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