Provider Demographics
NPI:1063036101
Name:INTEGRITY WOMEN'S HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:INTEGRITY WOMEN'S HEALTH & WELLNESS, LLC
Other - Org Name:INTEGRITY COASTAL HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:KALE GAVIN
Authorized Official - Last Name:SHUMATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-420-7278
Mailing Address - Street 1:324 SW 7TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-4900
Mailing Address - Country:US
Mailing Address - Phone:541-265-4253
Mailing Address - Fax:541-237-1093
Practice Address - Street 1:324 SW 7TH ST STE B
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-4900
Practice Address - Country:US
Practice Address - Phone:541-265-4253
Practice Address - Fax:541-237-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty