Individual
MATTHEW GUY SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8401
(503) 413-7361
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8401
(503) 413-7261
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP224665
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
05/29/2021
Last updated
06/27/2025
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