Individual
DR. AUDREY CHAPIN SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2163
(541) 271-4058
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1795
(541) 271-2171
(541) 271-6380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
227422
NY
207Q00000X
Family Medicine Physician
Primary
MD153148
OR
Other
Enumeration date
01/04/2011
Last updated
07/31/2020
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