NPI 1083280192

Matthew Guy Shook, DPM

Practitioner Podiatrist Portland, OR

Practice location

Address: 1015 NW 22nd Ave, Portland, OR 97210-3025
Phone: (503) 413-8401
Fax: (503) 413-7361

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DP224665 (OR)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083280192
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2021
Record last updated: 27 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.