Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin T Gathercoal, DO

Individual provider Family Medicine Physician · NPI 1861705865

Dr. Justin T Gathercoal, DO is a Family Practice in Salem, Oregon. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Pennsylvania.

Years since qualifying
19
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
OR, PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5125 Skyline Rd S
Salem, OR 97306-9427
Phone: (800) 813-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17th Medical Operations Squadron, San Angelo, TX 76908 — (325) 654-3075

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO166588 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS014673 (PA)

Record details

NPI number1861705865
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2010
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2007 (19 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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