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

Matthew Guy Shook, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083280192

Matthew Guy Shook, DPM is a Podiatry in Portland, Oregon. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2022, 4 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
4
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ, OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1015 NW 22nd Ave
Portland, OR 97210-3025
Phone: (503) 413-8401
Fax: (503) 413-7361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19555 N 59th Ave, Glendale, AZ 85308-6813 — (623) 572-3447

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence DP224665 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AZ)

Record details

NPI number1083280192
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 29, 2021
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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