Shane M Coleman in Bend - Psychiatry

Shane M Coleman - NPI 1083819692

Shane M Coleman is a Psychiatry in Bend, Oregon. Shane M Coleman practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Shane M Coleman is 1083819692. The last update date is 2023-02-14.

Shane M Coleman's current location address is 2600 Ne Neff Rd, Bend, Oregon. You can contact this provider via phone number 5417064800 and fax number 5417064806. The mailing address for Shane M Coleman is 2600 Ne Neff Rd, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Shane M Coleman
Address 2600 Ne Neff Rd, Bend, Oregon
Phone Number 5417064800
Fax Number 5417064806
Sole Proprietor N
Credentials M.D., MPH

NPI Number Detail

NPI Number 1083819692
Provider Enumeration Date 2007-06-15
Last Updated Date 2023-02-14

Provider Mailing Address Detail

Address 2600 Ne Neff Rd
City Bend
State Oregon (OR)
Post Code 977016337
Phone Number 5417064800
Fax Number 5417064806

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 7728
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
246201 MA MEDICAL LICENSE
1083819 WA --
232258 MA MEDICAL TRAINING/LIMITED LICEN
6810 AK MEDICAL LICENSE - TEMP
MD60212882 WA MEDICAL LICENSE
7728 AK MEDICAL LICENS
MD00372 AK ALASKA MEDICAID PROVIDER NUMBE

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FAQs about Shane M Coleman

What is the Shane M Coleman's unique identification number?

The Shane M Coleman has been assigned the NPI (National Provider Identifier) Number 1083819692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Shane M Coleman is physically located?

The Shane M Coleman is physically situated at the following address: 2600 Ne Neff Rd, Bend, OR, 977016337.

What is Shane M Coleman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Shane M Coleman's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.

When did Shane M Coleman receive its 1083819692 assignment?

The Shane M Coleman was assigned its 1083819692 on 2007-06-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Shane M Coleman most recently updated or revised?

The information pertaining to Shane M Coleman, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-14.

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