Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DUSTIN SHACKLETON, M.D.
Active Sole ProprietorDR. DUSTIN SHACKLETON, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in PORTLAND, Oregon. NPI 1942445119 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · PORTLAND, OR
Registration Details
- NPI Number
- 1942445119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2008 (17.741404839153 yrs)
- Last Updated
- Jun 14, 2021
- Licenses
-
LL17906 (OR)MD150243 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10123 SE MARKET STPORTLAND, OR, 972162532Browse OR providers · Browse ZIP 97216
- Phone
- 3102253244
- Fax
- 3106987054
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA FENDERSON | M.D. | 1093712424 |
| JOEL M. SHILLING | M.D. | 1346211067 |
| MR. JASON KARL HYDE | MD | 1659320471 |
| MEREDITH L. PEAKE | M.D. | 1790729838 |
| MARYAM ARMIN FARINOLA | M.D. | 1740216886 |
| DR. JIANZHOU WANG | MD | 1871527184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.