Provider Demographics
NPI:1871706218
Name:MACALESTER, SHAWN GONDA (DO)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:GONDA
Last Name:MACALESTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:545 SE OAK ST STE F
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4147
Mailing Address - Country:US
Mailing Address - Phone:971-228-8855
Mailing Address - Fax:503-206-0118
Practice Address - Street 1:545 SE OAK ST STE F
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4147
Practice Address - Country:US
Practice Address - Phone:971-228-8855
Practice Address - Fax:503-206-0118
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORDO157657207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology