NPI 1003704727

Shawna Lebechuck-Fisk, DENTALASSISTANT

Practitioner Dental Assistant Portland, OR

Practice location

Address: 12750 SE Stark St Bldg E, Portland, OR 97233-1539
Phone: (971) 347-3009
Mailing address: 211 SE Caruthers St, Portland, OR 97214-4502

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1003704727
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2025
Record last updated: 24 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.