Organization
MATTHEW M SHEPPARD D.M.D L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW M SHEPPARD D.M.D. (DENTIST)
(503) 636-8154
Entity
Organization
Contact information
Practice address
15962 BOONES FERRY RD STE 208, LAKE OSWEGO, OR 97035-4360
(503) 636-8154
Mailing address
15962 BOONES FERRY RD STE 208, LAKE OSWEGO, OR 97035-4360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8984
OR
Other
Enumeration date
03/03/2016
Last updated
03/07/2016
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