Gjesdal, Shane Matthew
Gjesdal, Shane Matthew is an individual health care provider with primary practice located at 705 Elm St Sw Suite 200, Albany OR 97321-1956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gjesdal, Shane Matthew can be contacted via phone (541) 812-4850.Contact Information
Primary practice address
705 Elm St Sw Suite 200
Albany OR 97321-1956
Phone: (541) 812-4850
Fax: (541) 812-4889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD29109 | Oregon |
Profile Details
| NPI number | 1164424586 |
|---|---|
| LBN Legal business name | Gjesdal, Shane Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Nov 3rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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