Individual
MATTHEW W SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8935 SE POWELL BLVD, PORTLAND, OR 97266-1938
(503) 772-4335
(503) 772-4337
Mailing address
8935 SE POWELL BLVD, PORTLAND, OR 97266-1938
(503) 772-4335
(503) 772-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27968
OR
207Q00000X
Family Medicine Physician
MD60001658
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8509838
—
WA
Enumeration date
09/28/2007
Last updated
02/05/2013
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