Search › Oregon › 207ZP0102X
Dustin Shackleton, M.D
NPI 1942445119 · on the registry since 2008 · sole proprietor
Practice
- Address
- 10123 Se Market St
Portland, OR 97216 - Phone
- (310) 225-3244
- Fax
- (310) 698-7054
- Organisation at this address
- Cep America Llc
Willamette Therapy
Vernon H Usher, Md Pc
Glenn Ruminson M.D. Pc
Diagnostic Radiologists, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 165
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon