Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dustin Shackleton, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1942445119

Dr. Dustin Shackleton, MD is a Pathology in Portland, Oregon. Graduated from University of California, Davis School of Medicine in 2005, 21 years ago. Practices with Northwest Medical Foundation of Tillamook, a 80-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Trained at
University of California, Davis School of Medicine
Licensed in
OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10123 SE Market St
Portland, OR 97216-2532
Phone: (310) 225-3244
Fax: (310) 698-7054
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence LL17906 (OR)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD150243 (OR)

Record details

NPI number1942445119
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 2, 2008
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Northwest Medical Foundation Of Tillamook — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland