IndividualActive
Matthew Shook, DPM
NPI 1083280192 · Podiatrist · Portland, OR
Provider details
- NPI number
- 1083280192
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Student, Health Care
Practice location
1015 Nw 22nd Ave
Portland, OR 97210-3025
Phone: (503) 413-8401
Fax: (503) 413-7361
Approximate (ZIP-level) locationGet directions
Mailing address
1015 Nw 22nd Ave
Portland, OR 97210-3025
Additional practice locations (1)
- 19555 N 59th AveGlendale, AZ 85308-6813Phone: (623) 572-3447Fax: (623) 572-3449
Registry dates
- Enumerated
- 2021-05-29
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.