IndividualActive
Dustin Shackleton, M.D.
NPI 1942445119 · Anatomic Pathology & Clinical Pathology Physician · Portland, OR
Provider details
- NPI number
- 1942445119
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LL17906 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10123 Se Market St
Portland, OR 97216-2532
Phone: (310) 225-3244
Fax: (310) 698-7054
Approximate (ZIP-level) locationGet directions
Mailing address
2374 E Pacifica Pl
Rancho Dominguez, CA 90220-6214
Registry dates
- Enumerated
- 2008-12-02
- Last updated
- 2021-06-14
- Certified
- 2021-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.