Important Practice Transition Information
Integrity Coastal Health & Wellness will conclude all in-person clinical services on June 30, 2026.
Limited telemedicine services for established patients will remain available through September 30, 2026, to support continuity of care, medication management, referrals, and transition planning.
For additional information regarding records requests, prescriptions, referrals, and ongoing care, please visit our Practice Transition FAQ page.
Our services
Integrity Coastal Health & Wellness will conclude all in-person clinic services on June 30, 2026.
After June 30, Dr. Shumate will provide limited telemedicine services for established patients through September 30, 2026, to support continuity of care, medication management, referrals, and transition planning.
Office gynecology services, procedures, examinations, and other in-person care will not be available after June 30, 2026.
Please visit our Practice Transition FAQ page for additional information.
Please note: Because Integrity will conclude in-person operations on June 30, 2026, office gynecology visits, procedures, examinations, IUD services, biopsies, and other in-person treatments will no longer be available after that date.
We provide the full scope of gynecologic care to persons of all ages and walks of life, throughout the variety of human experiences. As board-certified health care professionals, we are committed to your health and well-being.
Annual Visits
Cervical cancer screening
Breast cancer screening
Contraceptive management (birth control)
Screening for sexually-transmitted infections
Infertility
Preconception counseling & family planning
Abnormal bleeding
Treatment for menstrual disorders, including premenstrual syndrome (PMS) & premenstrual dysphoric disorder (PMDD)
Hormone replacement therapy
Menopause and Perimenopause
Urinary Incontinence
Pelvic floor disorders
Primary care is the day-to-day healthcare which covers a wide range of prevention, wellness, and treatment for common illnesses. We work to get to know YOU, your medical history, and your needs. Open and honest communication is essential and at Integrity Health, your space is safe and welcoming, and we look forward to beginning or continuing our conversation.
Preventive care is a key focus of primary care and helping you to stay healthy with regular checkups, well visits, and physicals. We are also here for you when you are sick -- whether it’s an occasional acute illness, injury, or support and guidance in managing a chronic condition. We also coordinate complex care with specialists.
What is the difference between Primary Care and Internal Medicine?
There is some overlap with the services that Internal Medicine and Primary Care practices and it can be confusing which the best choice is. Primary care tends to focus on preventive care and staying well, while internal medicine providers more likely focus on adults and seniors with a range of health issues and with a focus on managing chronic conditions. This is by no means written in stone anywhere!! If you have a question which is better, please contact us – we’d be happy to speak with you.
LGBTQIA2S+ Safe Space
We pledge to provide a safe, respectful, welcoming space to the LGBTQIA2S+ community. We provide gynecologic care to persons of all sexual orientations and gender identities, throughout the diverse spectrum of human experience.
Gynecologic Procedures
Please note: Because Integrity will conclude in-person operations on June 30, 2026, office gynecology visits, procedures, examinations, IUD services, biopsies, and other in-person treatments will no longer be available after that date.
IUD placement/ Removal
Nexplanon placement/ Removal
Colposcopy
LEEP (surgical therapy for pre-cancerous cervical lesion)
Endometrial biopsy
Transgender & Gender-expansive Health & Transition Support
Established patients may continue to access limited telemedicine servies through September 30, 2026. Because initiation of hormone therapy often requires ongoing follow-up and continuity of care, our ability to accept new hormone therapy patients is currently limited.
We are proud to be the only medical practice on the central Oregon coast offering specialty health services specifically to trans, non-binary, and genderfluid individuals.
Please note that, because of an upcoming practice transition, our ability to accept new hormone therapy patients is limited. Patients currently receiving hormone therapy and those seeking continuity of care are encouraged to contact the office to discuss available options.
Referrals to trusted, safe, supportive primary care providers
Individualized hormone options, inclusive of non-binary, genderfluid, & all identities
Discussions of gender-affirming procedures
Referrals to mental health professionals
Transition-related referrals as needed
