Individual provider · Type 1 NPI

Shawna Lebechuck-Fisk, DENTAL ASSISTANT

Dental Assistant · Portland, OR

NPI number 1003704727 Active

Practice location

12750 SE Stark St Bldg E
Portland, OR 97233-1539

Call (971) 347-3009 Map

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

36 other providers at this address

Other dental assistant providers in Portland

See all in Portland →

About NPI 1003704727

Shawna Lebechuck-Fisk, DENTAL ASSISTANT's National Provider Identifier is 1003704727, issued on Jun 24, 2025. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Portland, OR. The record was last updated on Jun 24, 2025.