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

Shawna Lebechuck-Fisk, DENTALASSISTANT

Individual provider Dental Assistant · NPI 1003704727

Shawna Lebechuck-Fisk, DENTALASSISTANT is a Dental Assistant in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12750 SE Stark St Bldg E
Portland, OR 97233-1539
Phone: (971) 347-3009
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1003704727
Entity typeIndividual (Type 1)
GenderFemale
Credentials DENTALASSISTANT
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

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