Shumate, Jonathan Kale Gavin

Shumate, Jonathan Kale Gavin is an individual health care provider with primary practice located at 1010 Sw Coast Hwy Ste 102 , Newport OR 97365-5239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shumate, Jonathan Kale Gavin can be contacted via phone (541) 265-4253.

Contact Information

Primary practice address
1010 Sw Coast Hwy Ste 102 Newport OR 97365-5239
Phone: (541) 265-4253
Fax: (541) 265-4035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD.200122 Louisiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00047503 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD154161 Oregon

Profile Details

NPI number 1740280072
LBN Legal business name Shumate, Jonathan Kale Gavin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 29th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740280072 NPPES
Oregon MEDICAID 500635045

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