MATTHEW GUY SHOOK DPM NPI 1083280192

NPI Information

  • NPI: 1083280192
  • Provider Name: MATTHEW GUY SHOOK, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1015 NW 22ND AVE
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 413-8401

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NPI Details

Matthew Guy Shook, DPM is a podiatrist in Portland, OR with 4 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Matthew Guy Shook, DPM NPI is 1083280192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2022

The provider's business location address is:

1015 NW 22ND AVE
PORTLAND, OR
ZIP 97210-025
Phone: (503) 413-8401
Fax: (503) 413-7361

The NPI 1083280192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/29/2021 and was last updated on 6/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramARIZONANo
2213E00000XPodiatristDP224665OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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